Your Guide to a Healthy Newborn

 Telehealth: Free phone access to a registered nurse (24 hours/7 days):
1-866-797-0000
Your Guide
 211: Dial 211 on your phone or visit www.211ontario.ca to link to community and
social services
to a
safety
 Car Seat Clinics: Check that your car seat is properly installed. Call your local
health unit for more information on when and where to have your car seats checked.
newborn
 Motherisk: for info about the risk of medications, drugs, herbal products, and
environmental toxins when pregnant or breastfeeding – 1-877-439-2744 (Monday to
Friday, 9am - 5pm) • www.motherisk.org
 Product Safety: Health Canada information on consumer product safety, including
children’s products and recalls – www.hc-sc.gc.ca/cps-spc/index-eng.php
sexual health clinics
registering your baby
feeding, sleeping, playing
Perth
Speak with a public health nurse or visit a clinic for information on birth control,
pregnancy, and STIs. For dates and times, call 519-271-7600 ext 779 or 1-877-2717348 ext 779, or visit www.pdhu.on.ca – “Classes, Clinics, Services” or text us at 519635-2504.
healthy postpartum tips
for moms
... and more!
smoking
Huron
 Stop Smoking Cessation and Resources: Call Huron County Health Unit at 519482-3416 or 1-877-837-6143
 Smoke-free Homes and Vehicles: Create a smoke-free home and car.
www.pdhu.on.ca/health_topics.php?id=681#
woman abuse
Huron
 Huron Women’s Shelter (24 hour crisis line): 519-524-6245 or 1-800-265-5506
www.huronwomenshelter.ca
Perth
 Assaulted Women’s Helpline (24 hours, 7 days): 1-866-863-0511 • www.awhl.org
Mobile: #SAFE (#7233)
 Optimism Place Women’s Shelter (24 hours/7 days): 519-271-5550 or 1-800-2658598 or www.optimismplace.on.ca
 Police - 911
Produced by the Perth District Health Unit - December 2013 - CA
directory
Huron
Speak with a public health nurse at 519-482-3416 or 1-877-837-6143 ext 2257 or text at
519-440-1439.
Perth
 Stop Smoking Clinic: Free one-to-one counselling for smokers who want to quit.
Call 519-271-7600 ext 704 or toll-free at 1-877-271-7348 ext 704 for an appointment.
healthy
Giddy-up
Let’s
Giddy-up
www.pdhu.on.ca
Let’s
www.huronhealthunit.com
letter
congratulations!
Welcoming a new baby, or babies, into
your home is a life-changing experience,
and yet it happens without an instruction
book. So the Perth District Health Unit and
Huron County Health Unit have put
together this resource to help you through
some of the early days with your newborn.
The guide is full of credible, evidence-based
and up-to-date health and safety
information for you and your baby. It is
information you can trust.
This guide is meant to be used as a
reference for you, your partner and your
family. Always discuss any questions or
concerns you may have about your baby
with your family doctor, midwife or a public
health nurse.
Let’s
Project Manager
Dianne Windisch, PHN
Editor
Rebecca Hill, BA
Graphic Design
Cathie Alexander, GD
Consultants - Perth
Adrienne Adas, BA
Julie Bergman, PHN
Shannon Edmonstone, RD
Katherine Horst, BSc
Annette Hoyles, BSc
Amanda Kerr-Lange, PHN
Mary Anne Lealess, PHN
Courtney MacIntosh, PHN
Deb Matheson, PHN
Larry Morrell, PHN
Anna Read, RDH
Consultants - Huron
Marguerite Falconer, PHN
Rhonda Howatt, PHN
Tanya Sangster, PHN
Laura Smith, PHN
We wish you and your family the best of
health!
Perth District Health Unit
653 West Gore St., Stratford, ON N5A 1L4
519-271-7600 • 1-877-271-7348 • www.pdhu.on.ca
Huron County Health Unit
77722B London Rd., R.R. #5, Clinton, ON N0M 1L0
519-482-3416 • 1-877-837-6143 • www.huronhealthunit.com
housing
Huron
 Huron County Social Services: 519-482-8505 or 1-888-371-5718
Perth
 Stratford Social Services: (temporary and permanent housing) 519-271-3773
(daytime) or 1-800-669-2948 (call Shelter Link after hours)
 Stratford Perth Shelter Link (formerly SAAIL): 130 Youngs St., 3rd Floor, Stratford:
519-272-2294 or www.shelterlink.org
mental health
 Huron-Perth Crisis Intervention Program (24 hour/7 Days): 519-274-8000 or
1-888-829-7484
 Canadian Mental Health Association, Huron-Perth Branch (counselling and
treatment): 540 Huron St., Stratford: 519-273-1391 or 1-888-875-2944
 www.cmha-hp.on.ca
 Mental Health Outpatient Services (counselling and treatment):
 86 John St., Stratford: 519-272-8210 ext 2205
 285 Sarah Ave. N., Listowel: 519-291-1320
parenting support
Huron
 Ontario Early Years Centre: Offers infant and child programs from 0-6 years old
 Huron: 519-482-8505 or 1-888-371-5718
 www.huroncounty.ca/childcare/childprogs.php
 Rural Response for Healthy Children: offers parenting programming
 52 Huron St., Clinton, 519-482-8777
 Facebook online community – search “Parenting in Huron” and Like
the page to join
Perth
 Ontario Early Years Centre: Offers infant and child programs from 0-6 years old
 Stratford: 519-273-9082
 Mitchell: 519-348-8618
 Listowel: 519-291-6626
 www.pcfk.on.ca
directory
Throughout the guide we have also
provided links to websites where you can
find more information on the various
topics. At the back of the booklet is a handy
directory of community support services.
Giddy-up
 Young Parents’ Place Perth County: a drop-in program for pregnant teens, young
single moms (under 25 years of age), their partners and children. Locations in
Stratford, Listowel and Mitchell. Call Health Line at 519-271-7600 ext 267 or 1-877271-7348 ext 267 or visit www.pdhu.on.ca for dates and times.
 Facebook online community – search “Young Parents Place Perth
County” and Like the page to join
phone support services
Huron
 Huron County Health Unit: Speak with a public health nurse: 519-482-3416 or
1-877-837-6143 ext 2256
Perth
 Health Line: Speak with a public health nurse about pregnancy, parenting,
breastfeeding and more: 519-271-7600 ext 267 or 1-877-271-7348 ext 267. Monday
to Friday, 8:30 am - 4:30 pm
41
 La Leche League of Canada: for information and support
 Kitchener: 519-579-3800 or 1-800-665-4324
 www.lllc.ca
 Your doctor, midwife or public health nurse
community programs, services and support
directory
 Information Perth: to search for local programs and services related to pregnancy
 www.informationperth.ca
 The Healthline: search for health services of Huron and Perth counties
 www.southwesthealthline.ca
counselling and support for families and children
 Family Services Perth-Huron: for issues such as marriage, family, violence,
budgeting, behaviour management – 142 Waterloo St. S., Stratford, 519-273-1020
or 1-800-268-0903
 Huron-Perth Centre: for issues such as mental health, family conflict, depression
and suicide, child behaviour, family violence, and sexual abuse
 Clinton: 519-482-3931
 Listowel: 519-291-1088
 Stratford: 519-273-3373
 www.hpcentre.on.ca
financial assistance
 Healthy Smiles Ontario: regular dental care for children 17 years and younger,
living in Huron or Perth County with an adjusted family net income of $20,000 per
year or less and do not have dental coverage. Call your local health unit for
information.
 Ontario Works: 77722D London Rd., RR 5, Clinton, 519-482-8505 or 1-888-371-5718
82 Erie St., Stratford, 519-271-3773 or 1-800-669-2948
healthy babies healthy children
A free support program for expectant parents and families with children from birth to 6
years of age.
Huron
Call Huron County Health Unit 519-482-3416 or 1-877-837-6143 or visit
www.huronhealthunit.com.
40
Perth
Call Health Line at 519-271-7600 ext 267 or toll-free at 1-877-271-7348 ext 267 or visit
www.pdhu.on.ca and click on “Classes, Clinics and Services”.
table of contents
welcome baby
Registering your baby.................................................................................................. 2
Immediate baby care issues ....................................................................................... 3
When to visit the doctor after delivery......................................................................... 4
mother care
Postpartum care........................................................................................................... 5
Healthy measures after pregnancy............................................................................. 7
Life with a new baby is not always what you expect................................................. 9
How are you feeling? ................................................................................................. 11
table of contents
Perth
 Breastfeeding Buddies: mom-to-mom support groups (drop-in)
 Breastfeeding Buddies – Stratford
1st Thursday of each month, 1 - 2 pm
Early Years Centre - 35 Waterloo St. N., 519-273-9082
 Breastfeeding Buddies – North Perth
Last Wednesday of each month, 10 - 11 am
Fisher Family Primary Care Centre, 185 Inkerman St. E., Listowel, 519-291-6626
 Facebook online community – search “Breastfeeding
Buddies Perth County” and Like the page to join
breastfeeding
Skin-to-skin: the healthiest place to begin ............................................................... 13
Breastfeeding ............................................................................................................ 14
Guidelines for nursing mothers................................................................................. 15
sleeping
Sleep and your baby ................................................................................................. 16
baby well being
When babies cry ........................................................................................................ 18
When baby is sick...................................................................................................... 20
It’s tummy time ........................................................................................................... 22
immunization
Immunization - your child’s best protection............................................................. 24
Immunization schedule ............................................................................................. 25
oral health
Oral health and your baby......................................................................................... 26
Teething ...................................................................................................................... 27
growth and development
Growth and development.......................................................................................... 28
Importance of reading and play................................................................................ 29
safety
Buckle me up! ............................................................................................................ 30
Safety in the home ..................................................................................................... 31
healthy environment
Creating a healthy home environment..................................................................... 33
Make your home and vehicle smoke-free................................................................ 34
relationships
Adjusting to parenthood............................................................................................ 35
Sexual health .............................................................................................................. 37
directory
Community listings - Huron and Perth ..................................................................... 39
1
welcome baby!
community listings
huron & perth
registering
your baby
addiction
 Choices for Change: free and confidential counselling services about drugs and/or
alcohol use or problem gambling
 519-271-6730 or 1-877-218-0077
 www.choicesforchange.ca
When your child is born, you must register the birth within 30 days
with the Office of the Registrar General. You can register the birth
online or by mail:
breastfeeding clinics
Click: Newborn Registration:
 apply for a birth certificate, Social Insurance Number, and for Canada
Child Benefits and Ontario Child Benefit.
 Wingham Health Unit (drop-in)
 Tuesdays, 9 am - 12 noon
 288 Josephine St., Wingham, 519-357-4993
mail
 Maitland Valley Medical Centre (by appointment or drop-in)
 Fridays, 9 am - 12 noon
 180 Cambria Rd., Goderich, 519-524-6060
online
Fill out the form Statement of Live Birth you received at the
hospital and sign it.
Perth
 Stratford General Hospital (drop-in)
 Mondays, 10:30 am - 1 pm; Wednesdays, 9 am - 1 pm
 Call 519-272-8210 ext 2901
 24 Hour Maternal-Child Unit Support: 519-272-8232 ext 2036
Mail it to the Office of the Registrar General (Government of
Ontario) - the address is on the form.
documents you will need to get for your baby
 Listowel Memorial Hospital (by appointment)
 Call 519-292-2076
 birth certificate
 an official document with your baby’s legal name, date of birth and
place of birth
 if your child was born outside of Ontario, contact that province or
country to obtain the birth certificate
 apply online (as above) or through a Service Ontario centre.
 North Perth Breastfeeding Clinic (by appointment)
 Monday to Wednesday, 10 am - 12 noon
(last Wednesday of month, 11 am - 12 noon only)
 Fisher Family Primary Care Centre • Call 519-291-3125 ext 6278
 St. Marys Memorial Hospital (drop-in)
 Tuesdays, 6 - 10 pm and Thursdays, 9 am - 1 pm
 Call 519-284-1332 ext 3365
 social insurance number
 a piece of identification that’s required for many federal programs
 apply online when you register your baby (as above)
 Stratford Family Health Team (by appointment)
 Available to Stratford Family Health Team patients only
 Call 519-273-7017
 health card
 your baby will need a health card to show that he or she is
entitled to health care services paid for by OHIP
 to apply, you must go in person to a Service Ontario centre.
breastfeeding support
Health Card
NAME OF CHILD
613 • 549 • 1232 • PH
BORN
2013 - 02 - 15
ISSUED
2013 - 02 - 15
Service Ontario
2
i
To find a Service Ontario centre near you:
 call toll-free: 1-800-267-8097
 visit: www.ontario.ca/serviceontario – select “Locations”
directory
www.ontario.ca/government/register-your-newborn-baby
Huron
 South Huron Medical Clinic (drop-in)
 Fridays, 9 am - 12 noon
 23 Huron St. W., Exeter, 519-482-3416
SEX
F
EXPIRY DATE
2018- 02 - 15
Huron
 Breastfeeding Connections: mom-to-mom support groups (drop-in)
 Facebook online community – search “Breastfeeding Connections Huron
County” and Like the page to join
 MILKS (Mothers Initiating Lactation Knowledge and Support): MILKS is a group
of Huron County mothers, who have breastfeeding experience and offer mother-tomother support. To get in touch with MILKS, email: huronmilks@gmail.com and you
will be connected with a mother in your area.
39
birth control
Speak to your healthcare provider about finding the right birth control
method for your situation.
immediate
baby care issues
cord care after the birth
 Proper cord care after birth is important to stop the umbilical
cord area from becoming infected.
 The umbilical cord stump is approximately 2-3cm long and
Lactational Amenorrhea Method (LAM) can be used by a woman
who has just given birth and is exclusively breastfeeding. LAM
can be used for birth control, but only if you answer “yes” to ALL
of the four statements below:
 My baby is less than 6 months old
 I have not had a period since my baby was
relationships
born
 My baby is breastfed on demand, both day
and night and is not fed other foods or
liquids
 I breastfeed at least every 4 hours during
the day and at least every 6 hours at night.
If you answer “no” to any of these statements,
begin another method of contraception.
Source: Society of Obstetricians and Gynaecologists of Canada. (2013). Sexual Health –
Pregnancy. Retrieved January 7, 2013, from www.sexualityandu.ca/sexualhealth/pregnancy
purplish-blue in colour. The cord clamp may still be on.
 The cord usually falls off within 7-14 days, during this time it
welcome baby!
Depending on your plans for future pregnancy, there are a number of
birth control (contraceptive) methods available. Don’t forget to protect
yourself from pregnancy until you are ready for another child. Use
condoms for infection protection if this is a newer relationship.
will change colour from yellowish green to black as it dries out.
 Wash your hands with soap and water before and after caring
for your baby’s umbilical cord.
 Keep the umbilical cord dry and exposed to air or loosely
covered with clean clothes.
 Fold the front of the diaper over so it is below the cord stump.
 If the cord becomes dirty, wash with clean water and soap and
thoroughly dry the cord stump.
 Call your doctor if your baby develops a fever or if the
umbilical area:
 oozes puss
 bleeds
 smells foul
 looks red and swollen around the cord.
Source: Olds, S.B., London, M.l., Wieland Ladewig, P., & Davidson, M.R. (2004).
Maternal-newborn nursing & women’s healthcare (7th ed.). New Jersey: Pearson
Education, Inc.
World Alliance for Breastfeeding Action (WABA) (n.a.) LAM - The Lactational Amenorrhea
Method. Retrieved December 6, 2013, from www.waba.org.my/resources/lam/
hearing screen follow-up
After your baby was born, a hearing screen was done by a hospital
nurse or by your midwife. If the screen needs to be repeated, you
will receive a follow-up call within a few weeks from when you
were discharged from the hospital. The screener will arrange a time
that you can bring your baby into a local clinic at Stratford General
Hospital, Listowel Memorial Hospital or Clinton Public Hospital.
38
If the screen needs to be repeated but you have not received a call
within three to four weeks of discharge, contact smallTALK at 519272-8216 or 1-866-333-7716, or e-mail info@smalltalkinfo.ca.
3
sexual
welcome baby!
when to visit the
doctor after delivery
Once you leave the hospital, your family doctor will typically want
to see your baby within five days to check how you and your baby
are doing.
Your doctor or midwife will want to see you alone
four to six weeks after you give birth to check on
your physical recovery from pregnancy and
delivery, see how you’re doing emotionally, and
address your needs going forward.
The frequency of visits to your family doctor after
the first check-ups will vary from physician to
physician.
midwives
Typically, midwives provide care up to six weeks after the birth of a
baby. The midwives will visit you and your baby at home a few times
after the baby’s birth and then schedule regular appointments with
you and the baby at their office. At six weeks postpartum, you will go
back into your family doctor’s care.
need a family doctor?
If you do not have a family doctor, contact Health Care Connect. Health Care
Connect helps Ontarians who are without a family healthcare provider (family
doctor or nurse practitioner) to find one in their community.
4
For more information:
 Visit www.health.gov.on.ca/en/ms/healthcareconnect/public
 Call 1-800-445-1822
Although in the first few weeks
or months after delivery you may
feel like you will never be sexual
again, be assured that this will
pass. Try not to worry too much
about it. Patience and
communication with your
partner are very important.
sex after baby
When is it safe to have sex after
having a baby? You may be
physically able to have sex as
soon as two weeks after delivery if you had only a small tear or none
at all. But most women wait at least 4 to 6 weeks, or until they get
the OK from their healthcare provider. It all depends on:




the type of delivery you had
how difficult it was
how many stitches you needed, and
any complications in your pregnancy.
relationships
During your baby’s first office visit, your family doctor will assess your
baby in a variety of ways. The first office visit will differ from doctor to
doctor, but you can probably expect:
 measurement of weight, length, and head circumference
 observation of your newborn’s vision, hearing, and reflexes
 a total physical examination to check for any abnormalities of the
body or organ function
 questions about how you are doing with your new baby and how
your baby is feeding and sleeping
 advice on what you can expect in the coming month
 a discussion of your home environment and how it might affect
your baby’s health (for example, smoking in the house can
negatively affect your baby’s health in many ways).
health
a difference
There might be a big difference between when you are physically
able to have sex versus when you feel emotionally ready and actually
want to have sex. Lack of sleep, the demands of your newborn, your
changing body image, and any anxieties
about motherhood can have a negative
impact on your sexual desire, and your
partner may also be experiencing similar
feelings.
The right time for you to resume intimacy is,
therefore, a very individual decision. Even if
sex is the last thing on your mind, it is
important to nurture the bond with your
partner in non-sexual ways to maintain your
relationship as a couple, not just as parents.
how soon after delivery can I get pregnant?
You could actually release an egg and get pregnant again as early as 2
or 3 weeks after delivery! You can get pregnant even if your period has
not returned; usually your period comes 2 weeks after you ovulate.
37
take care of your relationship:
 Listen to your partner’s concerns
and don't criticize them.
postpartum
care
Your body has done an amazing thing: given birth! But while you are
recovering from childbirth and caring for your newborn, you will
also be dealing with postpartum hormones, lack of sleep, and
adjusting to your changing body. The following chart outlines what
you may experience and how to take care of yourself during the
postpartum phase.
what you may experience
mother care
 Take time to talk to each other
often so that small annoyances
don’t grow into big issues. Strive
for at least 20 minutes a day to
talk and share feelings; you can
do this while you wash the
dishes together or as you get
ready for bed.
what you can do
after the delivery
relationships
 Be honest with each other and try to maintain a sense of humour.
 Work on solving issues together by coming up with solutions you
both can accept. Be willing to compromise, too.
 Keep in mind that sleep deprivation and stress can make you feel
more irritable, so it may take extra effort to curb any tendency to
be snappy.
 It may help to “assign” duties, like cooking and laundry, so both
partners know what's expected of them.
 Find time together as a couple to keep your relationship strong –
hire a sitter and go out on regular dates or make a special dinner
at home after you put baby to bed.
Breast changes are common after you
give birth and vary widely
Talk to a healthcare provider about
about what you can expect
Cramping (“after pains”) as your uterus
shrinks and becomes firmer; you may
notice these more with second and
subsequent pregnancies
Use Ibuprofen for discomfort
Feeling tired and exhausted
• Get as much rest as possible
• Sleep when your baby sleeps
• Ensure you get enough to eat and drink
• Focus on eating iron-rich foods
Bleeding and vaginal discharge for up to
8 weeks
• Wear pads as if you have your period
• Do not use tampons or the menstrual cup
Clots smaller than the size of a Toonie are
normal
Potential for constipation
• Drink fluids and eat a diet with plenty of
fibre to keep stools soft
• You may be encouraged to take stool
softeners
Feel sad or have “baby blues”
See page 9 for more information on
postpartum mood disorder
after a vaginal delivery
Swelling, pain, discomfort or burning in
your vaginal and perineal areas,
especially if you had tearing or an
episiotomy or have hemorrhoids
• Place cold packs in your undergarments
(such as frozen maxi pads)
• Use pain medication and hemorrhoid
creams/pads as directed
• You may take showers or tub baths
unless your physician or midwife has
given you other instructions
You may leak urine when you cough,
Do kegel exercises* to regain control
sneeze or laugh over the next few months over these muscles
36
(continued)
5
mother care
after a caesarean-section delivery
You may not be able to eat for up to 8
hours after the C-section
Have sips of water or eat ice chips
You may feel groggy, nauseous, or even
itchy from the medications you receive
• Medication and other measures for
comfort will be given to you at the
hospital
• When you go home, take medications
for pain control as instructed by your
physician/midwife/nurse
• When your discomfort lessens, you may
take plain Tylenol as directed
The area around your incision may feel
numb or have a tugging sensation
You may keep your incision covered for
comfort
adjusting to
parenthood
With the arrival of a new baby your relationship and day-to-day life
with your partner is bound to change. Here are some things to expect
after you bring baby home from the hospital.
while being a new parent is wonderful, it can
be difficult and stressful, too
Once you are at home, notify your physician or
midwife if you experience any of the following:
 Fever or chills
 Burning pain while urinating
 A feeling of fullness in your bladder after urinating
 Heavy bright red bleeding (saturating pads and passing large
clots – greater than the size of a Toonie)
 Foul smelling vaginal odour
 Redness, drainage and/or severe discomfort from your
episiotomy or if you had a C-section, from your incision
 Hard, reddened, painful areas in the breast that are not relieved
by nursing
 Unusual discharge from your nipples.
6
*Kegel exercises strengthen the muscles of your pelvic floor. Do them when you are
sitting, standing or lying down. To find the right muscles, try to stop the flow of
urine while you are going to the bathroom. If you are able to do so then you have
found the right muscles. Tighten the muscles for 5-10 seconds, then relax for about
10 seconds. Repeat this 10 times, three times during the day.
relationships
“and then comes baby”…now what?
 At first your newborn may only sleep for a few hours at a time,
which means you won’t be getting much sleep either! Lack of
sleep can make you feel irritable, find it hard to concentrate, and
also mean you have less energy for everyday tasks.
 Looking after a newborn also means you have less time for
yourself and for your partner, which can lead to jealous feelings.
These feelings are very normal.
 Moms can experience their own challenges, such as feeling
less attractive to her partner due to changes in her body and
being tired.
 It's also common for new moms and dads to feel guilty when
you're not enjoying every second of being a new parent. It's OK
to want — and need — to take a break from the baby every
once in a while.
 You and your partner might discover that you have different
approaches to parenting. It’s important to remember that with
parenting there is often more than one “right” way to do
something.
35
 Avoid teething toys, bibs, bath toys, shower curtains and other
items that contain PVC or vinyl (a type of soft plastic). These
items can contain harmful chemicals called phthalates, which
were banned in children’s toys in June 2011.
healthy measures
moms: be active, eat well and be yourself!
Source: Canadian Partnership for Children’s Health & Environment. “Creating Healthy
Environments for Kids.” Retrieved February 1, 2013, from
www.healthyenvironmentforkids.ca/resources/creating-healthy-environments-kids
make your
home and vehicle
smoke-free!
healthy environment
Second-hand smoke is more harmful to children because their
lungs are smaller and they breathe faster.
Children who breathe in second-hand smoke are more likely to have:
 more colds, ear and throat infections
 a greater risk of respiratory infections like bronchitis and
pneumonia
 a greater chance of getting asthma
 children with asthma will have more asthma attacks and
increased severity of the attacks
 in babies, a greater chance of dying from Sudden Infant
Death Syndrome (SIDS)
 behaviour issues with lower attention and comprehension.
Points to ponder:
 eating cigarette butts can poison a child
 children of smokers are more likely to become smokers
themselves
 people who stop smoking may have more money to spend
on themselves and their families
 parental smoking increases your family’s risk of a firerelated injury.
Protect your family by making your home and vehicle 100%
smoke-free! If you smoke, the best thing you can do is stop. If
you are not ready to stop yet, limit your smoking to outside your
home, away from children. It is against the law for any person,
driver or passenger to smoke in a vehicle where there are
passengers under the age of 16 years old.
For support to stop smoking:
• Perth District Health Unit: Free Stop Smoking Clinic – call 519271-7600/1-877-271-7348 ext 722 to make an appointment
• Huron County Health Unit: call 519-482-3416 or toll-free
1-877-837-6143
34
Finding time and energy to care for yourself while caring for your new
baby may be a challenge. Start by taking these steps to help you feel
good and stay energized.
be active
mother care
after pregnancy
The benefits:
 Being active will give you more energy to take care of yourself
and your baby
 Being active each day will help you sleep well, reduce stress and
achieve or maintain a healthy weight.
Start small:
 Start with 10 minutes each day of any activity you enjoy and
gradually increase to 30 minutes
 In time, aim for at least 150 minutes of activity per week.
Keep it simple:
 Start the day with simple stretches to rejuvenate
 Take your baby for a walk every day and enjoy the fresh air
 If the weather isn’t great, turn on some music and dance or play
with your baby at home.
Make it a family affair:
 Be active with family and friends by
walking together at a local park
 Join programs offered in the community,
such as a strollercise class or mom & baby
yoga – it’s a good opportunity to get out of
the house and meet other new moms
 Have fun exploring your neighbourhood.
eat well
Nourish your body:
 Eating well after giving birth and while breastfeeding is essential
to replenish nutrient stores in your body.
Eat well-balanced meals and snacks based on Canada’s Food Guide:
 Choose foods from all four food groups to give you energy for
your busy day.
Variety adds enjoyment:
 Choose a variety of foods every day
 Avoid falling into the trap of thinking that foods can be “good”
or “bad”
 Eat the foods that you enjoy and aim for a healthy balance and
size-wise portions.
7
mother care
Listen for hunger cues:
 Eat when you are hungry and stop when you are full
For breastfeeding moms:
 Follow this Eating Well with Canada’s Food Guide table for
breastfeeding mothers: go to www.hc-sc.gc.ca click on Canada’s
Food Guide, then select “My Food Guide Servings Tracker” and
“Breastfeeding Female”.
 Enjoy the same foods that you’ve always enjoyed. There are no
special foods to avoid while breastfeeding
 During breastfeeding your appetite and thirst may increase
 Eat an extra 2-3 food guide servings to meet your body’s needs
 Eat a variety of your favourite healthy foods, drink according
to thirst.
be yourself
Adapted from materials produced by Toronto Public Health.
after the birth: physical activity
Ask your healthcare provider when you may begin exercise and activity
after the birth of your baby. Generally, with an uncomplicated birth, exercise
can begin once you are feeling well enough.
 Try to take your time, rest frequently, and do not overdo it
 Breastfeed or express milk before being active
 Wear a supportive bra
 Drink plenty of water
 Listen to your body – if you are tired, rest.
benefits of activity
 Improved fitness and increased energy
 Maintain a positive self-image
 Return more quickly to a healthy weight
 Promote better sleep
 Reduce the risk and severity of postpartum mood disorder
 Improve bladder control by exercising pelvic floor muscles.
looking for more information?
i
8
• Eating Well with Canada’s Food Guide
www.hc-sc.gc.ca – select “Canada’s Food Guide”
• Physical Activity for Adults
www.pdhu.on.ca/health_topics.php?id=861
healthy home
environment
Toxic substances are common in our environments. Babies are at
greater risk than adults because their natural defences are not fully
developed.
Here are five ways you can create a healthy home.
bust that dust
 House dust is one of the main sources of
children’s exposure to toxic substances.
 Clean with a vacuum, a damp cloth or wet mop
once a week; twice a week if you have a
crawling baby.
 Take your shoes off at the door. Use washable
entrance mats.
 Minimize clutter and store toys in closed
containers.
go green when you clean
 Wash your hands often; avoid using antibacterial soaps.
 Use non-toxic cleaning products, such as baking soda, to scrub
sinks and tubs, and vinegar mixed with water for windows,
surfaces and floors.
 Choose fragrance-free laundry detergents and avoid using dryer
sheets. Fragrances in products can contain potentially harmful
chemicals.
 Keep all cleaners and other household chemicals out of the
reach of children.
healthy environment
 Celebrate yourself as a mom! Recognize that giving birth and
caring for a new baby are great achievements
 Make time for yourself every day, even if it’s only 15 minutes
 Focus on the best possible you. Do not compare yourself to
others. Recognize that a baby brings many changes to your life
and you are doing your best.
creating a
renovate right
 Children and pregnant women should stay away
from areas being renovated.
 Control and contain all dust, especially in older
homes (built before 1978), as renovation dust can
have high levels of lead, which is toxic to the developing brain.
 Choose less toxic paints, finishes and glues (e.g. VOC-free)
 Keep work clothes and shoes in a separate hamper; wash them
separately.
get drastic with plastic
 Don’t use plastic containers or plastic wrap in the microwave,
even if the packaging says “microwave safe.”
 Eat fresh or frozen foods whenever possible to reduce exposure to
BPA, a chemical used in the lining of most food and drink cans.
33
bed time
safety
 Crib safety:
• The safest place for your baby to sleep is alone in a crib on
their back
• Always lock the sides of the crib in the upright position
• Provide a safe crib environment that has no toys, bumper
pads, pillows or loose bedding (use only a fitted sheet).
• Make sure your baby does not have a bib, necklace, or
anything tied around the neck when in the crib
• Put your baby to sleep in a crib next to your bed for the first
six months.
bath time
 Supervise a baby in the bathtub or around water at all times
 Bath seats and bath rings
are not safe
 Do not rely on older
siblings to supervise
 Always check the
temperature of the water
before bathing your child
 Lower your water heater
temperature to a maximum
of 49°C (120°F)
Never leave children inside a parked car, even if the windows
are cracked open. Children who are left unattended in parked
cars are at risk for heat stroke and possibly death. Even when
the outside air temperature is 23°C/73°F, the temperature inside
a vehicle can be extremely dangerous - more than 50°C/122°F.
looking for more information?
32
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• Health Canada: Is Your Child Safe?
www.hc-sc.gc.ca – search “is your child safe”
life with a new baby is not always
what you expect
postpartum blues or “baby blues”
“4 in 5 mothers will have postpartum blues.”
Pregnancy, the birth of a baby or an adoption
brings physical, emotional and social changes.
Adjustments to the new roles and relationships
are not always easy.
mother care
 Choose a safe crib:
• Do not use a crib made before 1986
• Make sure your crib has no loose,
missing or broken parts
• Make sure the crib mattress fits
tightly within the crib
• Do not use a crib that does not have
a label, or is homemade
You may:
 Feel sad and tearful
 Feel irritable
 Feel exhausted
 Feel overwhelmed
 Have changes in your sleeping or eating pattern
These feelings are normal and can take up to 3 weeks to regulate
themselves. Your hormones plummet on day 3 - 4 after being at a
high level all throughout your pregnancy. The baby blues will pass
easier if you: take care of yourself, get lots of rest, and let family and
friends help you as well.
postpartum mood disorder
“1 in 5 mothers will have a postpartum mood disorder.”
If by 3 weeks you do not feel back to yourself, or at any time
during the first year you find yourself not as happy or coping as you
were before pregnancy, you may be suffering from a postpartum
mood disorder.
You may:
 Not feel yourself
 Be sad and tearful
 Feel exhausted, but unable to sleep
 Have changes in eating or sleeping pattern
 Feel overwhelmed and can’t concentrate
 Have no interest or pleasure in activities you used to enjoy
 Feel hopeless or frustrated
 Feel restless, irritable or angry
 Feel extremely high and full of energy
 Feel anxious – you may feel this as aches, chest pain, shortness
of breath, numbness, tingling or “lump” in the throat
 Feel guilty and ashamed, thinking you are not a good mother
 Not be bonding with the baby, or be afraid to be alone with
the baby
 Have repeated scary thoughts about the baby
 Have thoughts about harming yourself or your baby
9
Have you had any of these symptoms for more than two weeks? Don’t
wait. Ask for help. Talk with your partner, tell someone how you are
feeling. You can also call:
mother care
 Your healthcare provider (family physician, midwife, nurse,
obstetrician, psychiatrist)
 A public health nurse at your local health unit
 Canadian Mental Health Association – Huron-Perth:
1-888-875-2944
moms - what can you do?
 Do not blame yourself. You are not alone in feeling the way you
do. Do not feel ashamed or guilty for your thoughts and feelings.
They do not make you a bad mother.
 Take care of yourself. Try to rest, eat healthy foods and get some
fresh air and exercise.
 Get counselling. Attend one-to-one counselling sessions or join
a support group with other parents; it is helpful to talk through
your feelings in a safe and supportive environment.
 Consider medication. Your healthcare provider may
recommend medication that is safe to use while breastfeeding
and is not addictive.
partners, family, friends - what can you do?
 Listen and support her feelings.
 Encourage her to seek professional help
 Develop your relationship with the baby to
provide her with breaks
 Ask her how you can help
 Educate yourself about postpartum mood
disorders
 Take some time for yourself – you need a
break too
 Find someone to talk to
 Don’t take mom’s depression or sad
feelings personally (it is not her fault or yours).
Adapted with permission by the Best Start Resource Centre.
10
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looking for more information?
• Canadian Mental Health Association
www.cmha.ca/mental_health/postpartum-depression
Injuries in the home are most often caused by falls, burns, poisoning,
choking, strangulation and drowning. Create a safe environment for
your baby as they grow and learn.
around the house
 Protect your baby from falling:
• Stay close to your baby
• Keep one hand on your child while they’re on the change table
• Place car seats, carriers, and rockers on the floor
 Use safety gates:
• Install safety gates properly
• Bolt safety gates to the wall at the top and
bottom of the stairs
• Do not use safety gates made before1990
 Window blind or curtain cord safety:
• Place cribs, beds and other furniture away
from windows and balconies
• Cut window blinds and curtain cords short and tie them out
of reach
• Cribs, beds, high chairs and playpens should not be placed by
window blinds or curtain cords
• Use cordless window coverings
safety
 Ask for help. Talk to your partner, family, friends and healthcare
provider. Delaying help may delay recovery.
safety in the home
 Keep all potential poisons locked up and out of
reach of children
 Install smoke detectors on every level of the
home and in each sleeping area. Carbon
monoxide detectors can also save your child’s life.
play time
 Examine all toys and ensure they do not have small parts that can
be pulled off and swallowed
 Choose age-appropriate toys: pay attention to the age
recommendations on toys
 Keep small magnets away from children
 Baby walkers are dangerous and
banned for use in Canada
 Choose the right baby jumper for your
baby’s height, weight and age. Install
it properly and never leave your baby
unattended while in the jumper.
 Check for product recalls: www.hcsc.gc.ca/cps-spc/index-eng.php
31
buckle me up!
The below Edinburgh Postnatal Depression Scale will help you determine if
you may be suffering from postpartum depression.
Please check the answer that comes closest to how you have felt in the past
7 days, not just how you feel today.
safety
I am a baby
My rear-facing car seat protects my head, neck and soft bones. Keep
me this way until I have reached the maximum rear-facing height or
weight limit of my seat. I’ll fit into some rear-facing seats until I’m
20kg (45lb).
My harness:
 Is below my shoulder
IT’S OK
IF MY FEET
TOUCH!
 Is one finger tight at my collar bone
 Has my chest clip at armpit level
 Lays flat and is snug
My seat:
 Can move toward the back seat
 Is at a 45° angle
 Moves less than 2.5cm (1”) side to side
or forward where belted.
IN THE PAST SEVEN DAYS…
I am a toddler
3. I have blamed myself unnecessarily when things went wrong
1 Yes, most of the time
3
2 Yes, some of the time
2
3 Not very often
1
4 No, never
0
I must be at least one year old, 10kg (22lb) and can
walk unassisted to be in a forward-facing car seat.
My harness:
 Is above my shoulder
 Is one finger tight at my collar bone
 Has my chest clip at armpit level
 Lays flat and is snug.
My seat:
 Has the tether strap attached to the tether
anchor and is pulled tight
 Moves less than 2.5cm (1”) side to side
or forward where belted.
I am a school-aged child
I must be at least 18kg (40lb) to sit in a booster seat. My booster seat
helps the seatbelt to fit me better.
My shoulder belt:
 Crosses the centre of my shoulder
 Crosses the centre of my chest
 Lays flat
 Is pulled snug
My lap belt:
 Rests on my upper leg (thigh)
 Does not ride up on my belly
 Is pulled snug.
30
Source: Region of Waterloo Public Health
1. I have been able to laugh and see the funny side of things
1 As much as I always would
2 Not quite so much now
3 Definitely not so much now
4 Not at all
0
1
2
3
2. I have looked forward with enjoyment to things
1 As much as I ever did
2 Rather less than I used to
3 Definitely less than I used to
4 Hardly at all
0
1
2
3
4. I have been anxious or worried for no good reason
1 No, not at all
2 Hardly ever
3 Yes, sometimes
4 Yes, very often
0
1
2
3
5. I have felt scared or panicky for no very good reason
1 Yes, quite a lot
2 Yes, sometimes
3 No, not much
4 No, not at all
3
2
1
0
6. Things have been getting on top of me
1 Yes, most of the time I have not been able to cope at all
2 Yes, sometimes I haven’t been coping as well as usual
3 No, most of the time I have coped quite well
4 No, I have been coping as well as ever
3
2
1
0
mother care
In Canada, it’s the law for children to be in a car seat or booster
seat. Below are the recommended guidelines for car seats and
booster seats.
how are you feeling?
11
mother care
7. I have been so unhappy that I have had difficulty sleeping
1 Yes, most of the time
2 Yes, sometimes
3 Not very often
4 No, not at all
3
2
1
0
3
2
1
0
9. I have been so unhappy that I have been crying
1 Yes, most of the time
2 Yes, quite often
3 Only occasionally
4 No, never
3
2
1
0
10. The thought of harming myself has occurred to me
1 Yes, quite often
2 Sometimes
3 Hardly ever
4 Never
3
2
1
0
FINAL SCORE _________
Results
Add together the numbers you put for each of the ten questions.
Final Score 1-9
This result means that you are showing no signs of depression.
Final Score 10-12
This result means that you are showing mild signs of depression.
Final Score 13-30
This result means that you are showing moderate to severe signs of
depression.
If your score is 10 or higher, please talk to your doctor, midwife or
healthcare professional and bring this scale with you to your
appointment.
reading & play
As babies grow they are
constantly learning about
themselves and their world
through their five senses –
seeing, hearing, touching,
tasting and smelling.
Play with your baby throughout
the day so they can learn
through their senses:
• Sing, read and talk to your
baby even if they don’t seem
to be listening
• Hold your baby, smile and tell
them how wonderful they are
• Take your baby for walks and
talk about the things you see
and hear
• Play music and gently move
your baby’s arms and legs to
the beat
• Hang brightly coloured objects
near your child – mobiles,
mirrors, pictures
• Try short periods of “tummy
time” with your baby (page 22).
as baby grows
• Offer toys they can hold –
rattles, bells, plastic rings
• Play during bath time – gentle
splashing, floating toys, cups
• Play simple games – peek-aboo and pat-a-cake
• Play with your baby on the
floor and encourage them to
crawl by placing a favourite
toy just out of reach
• Continue to sing and read to
your baby.
early literacy
Babies make their needs and
interests known through body
language and cooing and
babbling sounds. This is their
way of communicating.
To help your child’s language
and reading development:
• Take turns “talking” with them,
even though they may not be
using real words yet
• Name objects and actions
when going about your day or
while looking at books
together
• Read simple books with your
baby by naming and pointing
to the pictures
• Choose books that have large,
simple pictures
• Let babies see writing and
reading as a part of everyday
life (making grocery lists,
pointing out street signs)
• Sing songs, say rhymes and
play games like, “This Little
Piggy”. They are fun for babies
and allow them to hear and
sense patterns of language.
growth and development
8. I have felt sad or miserable
1 Yes, most of the time
2 Yes, quite often
3 Not very often
4 No, not at all
importance of
Adapted with permission from Niagara Region Public Health (January 2013)
Source: Cox, J.L., Holden, J.M., Sagovsky, R. (1987). Detection of postnatal depression:
Development of the Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150:
782-786
12
looking for more information?
• Small Talk
www.smalltalkinfo.ca
• Visit the public library in your community
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growth & development
GROW
the Nipissing Screens:

growth and development




Are checklists to help parents keep track of your
child’s development.
Were designed to be done at the same time your child
gets their vaccinations. There is a different checklist
for each developmental stage up to age 6.
Includes a list of ideas and activities parents can do
with their child that are age-appropriate and will
help them with their development.
Parents can complete the Nipissing at home and then take it to the
doctor during regular check-ups. This tool helps parents tell the
doctor if they have any concerns with their child’s development.
Parents can also ask any questions or talk about concerns with a
public health nurse:
• Huron County Health Unit: 519-482-3416/1-877-837-6143
• Perth District Health Unit’s Health Line: 519-271-7600 or toll-free
at 1-877-271-7348 ext 267.
To download copies of the Nipissing Screens, visit www.ndds.ca
Adapted with permission from Niagara Region Public Health (January 2013)
want an easy way to
track your baby’s growth
and development?
Giddy-up
Let’s
Giddy-up Let’s Grow is the answer!
Sign up for the e-newsletter, which is delivered to your inbox every
month until your baby turns one – and then periodically until your baby
is no longer a baby ... but a sensational six years old!
Each e-newsletter is written by a parent - like you - and has links to
age-appropriate growth, development and parenting information as
well as to community services.
the healthiest place to begin
All babies benefit from skin-toskin. Placing your newborn baby
on your bare chest is
recommended immediately
following birth for at least an hour,
or until completion of the first
feeding, or for as long as you wish.
breastfeeding
Giddy-up
Every baby is unique and will develop differently. A good tool to help
keep track of your baby’s development is called the Nipissing District
Developmental Screen (NDDS)®.
skin-to-skin:
with skin-to-skin,
your baby:
 Breastfeeds easier
 Cries less and is calmer
 Stays warmer
 Enjoys more comfort from you
 Has better blood sugar levels and heart rate
 Is protected by some of your good bacteria.
with skin-to-skin, you:
 Breastfeed more easily
 Create more breast milk
 Learn when your baby is getting hungry
 Bond more with your baby
 Gain confidence and satisfaction caring for your baby
 Are more relaxed.
as they grow
Babies love skin-to-skin contact as they grow older as well:
 Just hold your baby (this can be either mom or dad), wearing only
a diaper, against your bare chest or tummy and cover their back
with a blanket
 It is a great way to calm an upset baby
 It is soothing to them and helps them feel secure.
You may have already signed up through a public health nurse at the
hospital or your midwife. But if we missed you:
• Perth residents sign up online at: www.pdhu.on.ca/giddy-up
• Huron residents sign up by calling: 519-482-3416 or 1-877-837-6143
ext 2256
28
13
breastfeeding
Breast milk is the natural food for babies. Canadian health experts
recommend:
 Babies need only breast milk for the first 6 months.
 At 6 months, babies will show signs that they are ready for solid
foods. It is important to watch for these cues, introduce solids
when ready, and continue to breastfeed for up to 2 years and
beyond.
 All babies need Vitamin D. If breastfeeding, Health Canada
recommends you give your baby 400 IU of Vitamin D each day
from birth to one year of age.
breastfeeding matters because:
 Everyone benefits from breastfeeding – you, your
baby, your family and your community
 Breast milk is convenient, always the right
temperature and available anytime
 Breastfeeding is free
 Breastfeeding promotes bonding between you
and your baby
 Breastfeeding is environmentally friendly
 Breastfeeding reduces health care costs for your
family and society.
Once teething starts, it continues
for about two years. Each child
has their own schedule for
“cutting” teeth.
Expect the first tooth to come
through when your baby is
about 4-6 months old. Some
babies seem to have no problem
with teething while others may be fussy and you may notice drooling,
biting, gnawing and some swelling of the gums.
How you can help relieve your baby’s sore or tender gums:
 Gently massage baby’s gums with a clean damp cloth.
 Give your baby a clean, chilled teething ring to chew on
 Teething cookies are NOT a good choice as they contain sugar
and may lead to cavities
oral health
breastfeeding
the importance of breastfeeding
teething
 Extra love and patience will help your baby through the teething
process
 Fever, rash and diarrhea are not symptoms of teething - contact
your baby’s doctor immediately as these could be signs that your
child is ill.
Teething gels or ointments are NOT recommended because they may
numb baby’s throat and cause choking.
for your baby, breastfeeding:




Protects your baby from many infections and illnesses
Builds healthy eating habits
Promotes proper jaw development
Promotes healthy brain development.
for mom, breastfeeding:
 Controls postpartum bleeding
 Helps you lose the weight you gained during pregnancy more quickly
 Slows down the return of your period.
For your breastfeeding needs and to make an
informed decision about feeding your baby,
contact your local health unit, or refer to the
“Breastfeeding Matters” book that you got
prenatally. If you do not have a copy, call your
health unit or visit www.beststart.org.
14
Permanent (Adult) Teeth
Primary (Baby) Teeth
Erupt
8-12mos
9-13mos
16-22mos
13-19mos
25-33mos
6-7yrs
Upper Teeth
Central Incisor
Lateral Incisor
Canine (Cuspid)
First Molar
Second Molar
First Molar (6-yr)
Erupt
6-7yrs
23-31mos
14-18mos
17-23mos
10-16mos
6-10mos
Lower Teeth
First (6-yr) Molar
Second Molar
First Molar
Canine (Cuspid)
Lateral Incisor
Central Incisor
Erupt
7-8yrs
8-9yrs
11-12yrs
10-11yrs
10-12yrs
6-7yrs
12-13yrs
17-21yrs
Upper Teeth
Central Incisor
Lateral Incisor
Canine (Cuspid, Eye Tooth)
First Premolar (First Bicuspid)
Second Premolar (Second Bicuspid)
First Molar (6-yr Molar)
Second Molar (12-yr Molar)
Third Molar (Wisdom Tooth)
Erupt
17-21yrs
12-13yrs
6-7yrs
10-12yrs
10-11yrs
11-12yrs
8-9yrs
7-8yrs
Lower Teeth
Third Molar (Wisdom Tooth)
Second Molar (12-yr Molar)
First Molar (6-yr Molar)
Second Premolar (Second Bicuspid)
First Premolar (First Bicuspid)
Canine (Cuspid, Eye Tooth)
Lateral Incisor
Central Incisor
looking for more information?
• Perth District Health Unit - Dental Health
www.pdhu.on.ca - dental health
• Huron County Health Unit
www.huronhealthunit.com
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26
Your baby should have a strong cry, move actively and wake easily.
Your breasts feel softer and less full after breastfeeding and your baby comes off the breast looking relaxed and content.
Other Signs
From Day 4 onward your baby should gain 20 to 35g per day (2/3 to 11/3 oz) and
regain his or her birth weight by 10 to 14 days.
Babies often experience a sudden burst in growth – a growth ‘spurt’ – at certain times within their first few weeks.
During these growth spurts your baby may want to nurse more than usual.
Growth Spurts
At least 1 to 2
BLACK OR DARK GREEN
Babies lose an average of 7% of their birth weight in
the first 3 days after birth.
For example, a 3.2 kilogram or 7-pound baby will
lose about 230 grams or ½ a pound.
At least 3
WET
At least 2
WET
Per day, on average over 24 hours
Your Baby’s Weight
At least 3 large, soft and seedy
YELLOW
At least 4
WET
At least 3
BROWN, GREEN, OR YELLOW
Size of an egg
At least 1
WET
Soiled Diapers:
Number and Colour of Stools
Per day, on average over 24 hours
How Often Should You Breastfeed?
Source: Best Start Resource Centre
Per day, on average over 24 hours
1 WEEK
2 DAYS
Your Baby’s Age
• Why? This may be a sign of early childhood tooth decay (ECTD),
which is a form of tooth decay in infants and young children
that develops quickly. Advanced ECTD may result in extreme
pain, spread of infection, difficulty chewing and talking, and
costly dental treatment.
Children with ECTD are
at more risk of
developing cavities in
their permanent teeth.
1 DAY
 Check your baby’s gums and teeth often. If you notice white or
brown spots on the teeth or changes to the gums contact your
dental professional or Perth District Health Unit or Huron County
Health Unit immediately.
4 DAYS
 As soon as teeth appear, brush your child’s teeth twice a day using
a soft baby toothbrush with no toothpaste or a slight smear of
fluoride-free toothpaste. Rinse toothpaste from the mouth using
water on the toothbrush.
Size of an apricot
5 DAYS
• Why? All liquids, except for water, contain some form of sugar.
Allowing your child to sip on drinks throughout the day or night
may cause cavities (dental decay).
Size of a walnut
6 DAYS
 Once your baby is able to sit up, offer drinks in a regular cup – avoid
sippy cups.
• Why? Babies can get cavities just like older children and adults.
Your child may have some of their baby teeth until age 12 so it’s
important to start healthy habits early.
At least 8 feeds per day (every 1 to 3 hours). Your baby is sucking strongly, slowly, steadily and swallowing often.
2 WEEKS
7 DAYS
• Why? This will help your baby get used to having their teeth
brushed.
3 DAYS
oral health
 Clean your baby’s mouth as often as possible after feedings. Wipe
your baby’s mouth and gums with a clean cloth moistened with
water only.
breastfeeding
It is important to start healthy dental habits early – even before your
baby’s first teeth come in. Here are some things you can do and why
you need to do them.
Wet Diapers:
How Many, How Wet
your baby
At least 6
HEAVY WET WITH PALE YELLOW OR CLEAR URINE
nursing mothers
Size of a cherry
and
guidelines for
Your Baby’s Tummy Size
oral health
15
16
OR
Adult
14-16
years
Gr. 8
Gr. 7
Adacel® - diphtheria, tetanus, & acellular
pertussis (one “life-time” dose for
individuals up to 64 years who were not
previously vaccinated with an acellular
containing vaccine).
Td Adsorbed® - diphtheria & tetanus
one dose every 10 years in adulthood
Gardasil® - human papillomavirus
3 does schedule (females only)
Engerix® -B or Recombivax HB®
- hepatitis B 2 dose schedule
Menactra® - meningococcal ACYW-135
Adacel® - Polio - diphtheria, tetanus,
acellular pertussis, inactivated poliovirus
Priorix-Tetra™ - measles, mumps, rubella
and varicella vaccine
Varivax® III - varicella (chicken pox vaccine)
Priorix® M-M-R® II - measles, mumps, and
rubella
Menjugate® - meningococcal group C
Rotarix™ - rotavirus vaccine
Provide a safe crib environment that has no toys or loose
bedding – use only a fitted sheet.
 The safest place for your baby to sleep or nap is in a crib.
 Do not let your baby sleep on an adult bed, couch or any
soft surface (either alone or with another person). Soft
surfaces increase the risk of suffocation.
 Use a crib that has no toys, blankets, bumper pads or
loose bedding.
Prevnar® 13 - pneumococcal conjugate
Place your baby to sleep in a crib next to the adult’s bed for the
first 6 months.
 Place your baby to sleep in a crib within arm’s reach of
where you sleep. This may mean putting your baby’s crib
next to your bed, or putting a mattress next to the crib in
your baby’s room.
 Room sharing is associated with a reduced risk of SIDS
 Bed sharing or co-sleeping whether on a bed, couch,
futon, armchair, or any makeshift bed is not
recommended and can lead to suffocation. Co-sleeper
products are not recommended by Health Canada.
Pediacel - diphtheria, tetanus, acellular
pertussis, inactivated poliovirus, haemophilus
influenzae type B
Always place your baby on their back to sleep – at night time
and nap time.
 Start putting your baby on their back right from birth at
every sleep, including nap time. A baby who usually
sleeps on their back but is then placed on their stomach
at another sleep is at a much higher risk of SIDS.
 Do not use sleep positioners or rolled up blankets as they
could suffocate your baby.
 At about 5 months old, your baby may start to turn over
onto their stomach on their own. When this happens,
you do not have to reposition your baby.
®
studies show that exposure to smoke is one
of the greatest risk factors for SIDS
4-6
years
Provide a smoke-free environment – both before and after birth
 Do not let anyone smoke near your baby– not in the
house, the car or anywhere your baby sleeps or spends
time. If you, your partner, family member or friends
smoke, smoke outside and well away from your baby.
2
4
6
15
18
12
months months months months months months
Here are four steps you can take to create a safe sleep environment
for your baby:
immunization
sleeping
Creating a safe place to sleep will help your baby sleep safely and
reduce the risk of Sudden Infant Death Syndrome (SIDS).
immunization schedule
Vaccine
sleepand your baby
routine publicly funded
25
immunization
your child’s best protection
immunization
how does it work?
Vaccines cause your child’s
immune system to make
antibodies which will fight off
certain diseases. For
immunization to work best,
children should have all their
needles on schedule.
is it safe?
Yes, immunization is very safe.
Before any vaccine can be used
in Canada, it must go through
careful testing. Vaccine safety is
always being monitored.
The benefits of preventing
disease with a vaccine far
outweigh the risks.
are there any side effects?
The most common side effects
are mild pain, swelling and/or
redness where the needle was
given. Some infant vaccines may
cause a low-grade fever or
fussiness for a day or two after
the shot. Serious side effects are
very rare.
when should I have my child
immunized?
Immunization starts as an infant
and continues throughout life.
Your child will receive most of
their immunizations between
the ages of 2 months and 6 years
of age (see next page).
report immunizations to the Health Unit!
Immunization records are kept at the local Health Unit for each child going
to school as part of provincial law. But it’s up to you to keep the Health Unit
updated on your child’s immunizations! Your family doctor does not forward
the information to us.
In Perth County, let the Health Unit know when your child has received an
immunization:
 Online: www.pdhu.on.ca/immunization
 By phone on voice mail (24 hours/7 days a week), call: 519-271-7600 /
1-877-271-7348 ext 555.
 By confidential fax: Have your doctor’s office fax a copy to the Health
Unit or send a photocopy yourself to 519-271-2785
 In person: Bring your child’s yellow card to the Health Unit at: 653 West
Gore Street, Stratford: Monday to Friday, 8:30am - 4:30pm
In Huron County, call 519-482-3416 or toll-free at 1-877-837-6143 ext 2329
or visit www.huronhealthunit.com/immunizations
24
i
Please share this information with all family,
friends, and other child care providers who may
care for your baby to ensure they follow safe
sleep practices.
sleeping
what is immunization?
Immunization or vaccination
will protect children from serious
diseases, such as whooping
cough, tetanus, measles, and
mumps.
 Instead of a blanket, use light sleeping clothing for your baby,
such as a one-piece sleeper.
 Use a crib that meets current Canadian safety regulations.
 Be aware of room temperature as overheating can be a risk for
SIDS. If the room temperature is comfortable for you, then it is
also comfortable for your baby.
what about
co-sleeping?
Bed sharing or co-sleeping is when you share the same
sleep surface as your baby, whether it is a bed, couch, futon,
beanbag, recliner, armchair, air mattress, memory foam, or
any makeshift bed.
Bed sharing has been identified as a risk factor for SIDS and
can also lead to suffocation.
Bed sharing is unsafe because a baby can suffocate if:
 they become trapped between the sleeping surface and
the body of a parent or caregiver, the wall or other objects;
 the parent, caregiver or another child rolls over onto the
baby; or
 the parent uses soft bedding material such as pillows or
comforters.
The risk of death is even higher for your baby if the person
sharing the same sleep surface is a smoker, very tired, or
under the influence of drugs, alcohol, or medications.
Room sharing is a safe alternative to bed sharing.
Adapted with permission from Niagara Region Public Health (January 2013)
Source: Public Health Agency of Canada. (2012). Safe Sleep for your Baby. Retrieved
October 4, 2013, from: www.phac-aspc.gc.ca/hp-ps/dca-dea/stages-etapes/childhoodenfance_0-2/sids/ssb_brochure-eng.php
looking for more information?
looking for more information?
• Health Canada: Immunizations & Vaccines
www.phac-aspc.gc.ca/im/index-eng.php
• A parent’s guide to immunization information on the internet
www.caringforkids.cps.ca/handouts/immunization_information_on_the_internet
• Healthy Canadians – Safe Sleep
www.healthycanadians.gc.ca/kids-enfants/sleep-sommeil/index-eng.php
• SIDS Canada
www.sidscanada.org - click “Parents and Caregivers”
i
17
when
A crying baby may make you feel helpless, frustrated or even angry.
Though it can be hard to deal with at times, crying is your baby’s only
way of letting you know they are unhappy or uncomfortable. It is
important that anyone who cares for your baby understands that
crying is normal.
Although some crying is normal, it is important
that every attempt is made to understand why your
baby is crying.
crying facts
 It is normal for babies to cry a lot in a 24-hour period
 Most babies have at least one fussy period a day, often in the
evening
 Most babies cry more at night
 Most babies cry more at 6-8 weeks than at birth
 Most babies start to settle after 8 weeks and will begin to cry less.
You cannot spoil your baby by picking them up when
they cry. In fact, if you respond warmly and quickly
to your baby’s cries, they will tend to cry less.
reasons why babies cry
 hunger/thirst
 tired
 change from wakefulness to sleep
 too cold or too hot
 pain or discomfort
 need to suck
 need to be held
 over stimulation
 colic
 no cause!
Babies’ skulls are very
soft and the bones can
be affected by pressure.
Babies also have weak
neck muscles. Because
of this, they tend to turn
their heads to one side
when placed on their
backs. If babies always
rest on the same area
of the head, the skull
may flatten. This is
known as a ‘flat head’
or positional plagiocephaly.
baby well being
baby well being
babies cry
why do some babies develop flat spots on
their heads?
can a baby’s flat head be prevented?
Yes!
You can help your baby have a round head shape by:
 having supervised tummy time several times a day
 avoiding long periods in bouncy seats, infant swings, and
strollers
 limiting the time your baby spends in a car seat
 changing the positions you use to hold and carry your baby
 changing your baby’s position in the crib each day:
• one day, place your baby with their head at one end of
the crib
• the next day, place your baby with their head at the other
end of the crib
• switch ends each day. This encourages your baby to turn
their head in either direction.
If your baby still develops a flat
area, talk to your healthcare
provider or public health nurse.
how to help calm your crying baby
 Take care of physical problems first – hunger, diaper change, the
18




need to burp
Place your baby skin-to-skin
Walk with your baby in a sling or in a stroller
Rock your baby in a rhythmic, gentle motion
Try a baby swing or rocking cradle
Source: Province of British Columbia. (2011). Baby Care – Tummy Time. Retrieved February
4, 2013, from www.bestchance.gov.bc.ca/you-and-your-baby-0-6/caring-for-yourbaby/baby-care/tummy-time.html
23
it’s
Tummy time is when you lay your baby on the stomach or side when
they are awake. You can put your baby on the floor, on a safe firm
surface, on your lap, or on your chest for tummy time. Your baby
needs supervised tummy time several times a day because it:



 prevents your baby from getting a flat
area on their head

 makes the muscles of your baby’s
neck, back, and arms stronger

washing machine or vacuum cleaner)
Give your baby a warm bath
Have your baby listen to and watch
running water
Lay your baby tummy-down across your
lap and gently pat their back
Give your baby something new to look
at or hold
Take your baby outside or for a walk in
fresh air.
baby well being
baby well being
tummy time!
 Gently pat or stroke the back or chest
 Go for a ride in the car
 Turn on some white noise (such as a
 helps your baby learn to roll and crawl
 supports your baby’s overall
development.
Adapted with permission from Niagara Region Public Health (January 2013)
never shake a baby
Some babies like being on their tummies but many do not like it at
first. You may have to help your baby learn to enjoy tummy time. Here
are some tips:
 Start tummy time when your baby is a newborn.
 Put your baby on their tummy after each diaper change. Add one
minute of tummy time each day. If your baby gets upset, increase
the time more slowly.
 Talk and sing to your baby.
 Give your baby a massage on their back, arms, or legs. Gently
touch or stroke your baby.
 Give your baby interesting things to look at, such as brightly
coloured toys or a mirror. Get down on the floor so your baby can
see your face.
 You can also roll up a towel and put it under your baby’s chest
with your baby’s arms propped up in front for support. At first put
your hand under your baby’s chin to support the head until your
baby is strong enough to do it on their own.
Your baby only needs to be on
their back when sleeping.
When awake, your baby needs
to be held, loved and played
with. Supervised tummy time is
a very important part of your
baby’s day.
22
Starting at about two weeks of age, some babies begin crying more and
may be hard to soothe. As a result, parents may feel guilty and angry if
they aren’t able to console them.
Shaken Baby Syndrome is a condition that occurs when a baby is shaken
violently. Shaking is a potentially fatal form of child abuse. If a baby is
shaken with force, it can lead to a lifetime of problems:
 shaking can damage a child’s brain
 shaking can cause permanent disabilities like blindness or paralysis
 shaking can even cause death.
Never, never shake a baby! No child, at any
age, should be shaken.
If you feel in danger of losing your temper
and harming your baby in this way, leave the
baby in a safe place (crib/playpen) and call
on another adult for help. If no one is
available, please call a crisis line.
looking for more information?
• Babies and Crying (Perth District Health Unit)
www.pdhu.on.ca/health_topics.php?id=361
• Colic in the breastfed baby
www.breastfeedinginc.ca/content.php?pagename=doc-CBB
• Call your local health unit or speak with your healthcare provider or midwife
i
19
vomiting & diarrhea
when
baby is sick
Fever is a symptom, not a diagnosis. Fever is defined as a temperature
greater than 37.4° C or 99.4° F when taken under the arm.
Call your doctor or go to the hospital if your baby:






Has a fever and is less than 6 months old
Has a fever for more than 72 hours
Is excessively cranky, fussy or irritable
Is excessively sleepy or lethargic
Is persistently wheezing or coughing
than usual
 In children, it is most often caused by a virus
 Call your doctor or go to the hospital if:
•
•
•
•
Your baby has diarrhea and is less than 6 months of age
Your baby has bloody stools
Your baby starts to vomit and is still vomiting after 4-6 hours
Your baby has decreased urination (less than 4 wet diapers in
24 hours)
• You are concerned and your baby appears unwell
 Your doctor may recommend you give your baby special drinks as
oral rehydration (i.e. Pedialyte or Gastrolyte) in frequent, small
doses to replace lost glucose and electrolytes
 Avoid juice and sports drinks.
Has a fever and a rash or any other signs of illness that worry you.
A fever can be a good thing, as it means your child’s immune system
is working. For more information on taking an accurate temperature
reading, visit www.caringforkids.cps.ca and search “fever”.
common cold
 The common cold is the most common and mildest type of
infection.
 Typical symptoms may include:
•
•
•
•
•
•
•
runny or stuffed-up nose
mild sore throat
sneezing and coughing
poor appetite
watery eyes
mild tiredness
low-grade fever (less than 38.5º C or 101º F)
 The common cold is usually caused by a virus that is in the nose
and throat. The cold usually gets better within 5-7 days.
flu-like illness
baby well being
baby well being
all about fever
 Diarrhea is when stools are more watery and are more frequent
if your baby is older than 6 months
If your baby is older than 6 months and is
sick, you may want to consider giving
medication to provide some relief and
comfort. Unless your doctor says otherwise,
parents can give the dose recommended on
the package. Acetaminophen (e.g.Tylenol) or
Ibuprofen (e.g. Advil) are suitable but be sure
to follow the directions and do not exceed
the recommended dose. The temperature
usually comes down in one hour and then
may rise again. This means the medication
is working.
do NOT give acetaminophen and ibuprofen at the same time
A baby with a fever should NOT be given aspirin. Taking
aspirin can increase the risk of Reye's Syndrome. This is a
very serious condition that can damage the liver and brain.
 Typical symptoms may include:
•
•
•
•
•
20
cough
sore throat
chills
headaches
sneezing
•
•
•
•
fever
runny nose
fatigue
muscle aches
Adapted with permission from Niagara Region Public Health (January 2013)
looking for more information?
• Caring for Kids - When Baby is Sick
www.caringforkids.cps.ca/handouts/sickkids-index
i
21
vomiting & diarrhea
when
baby is sick
Fever is a symptom, not a diagnosis. Fever is defined as a temperature
greater than 37.4° C or 99.4° F when taken under the arm.
Call your doctor or go to the hospital if your baby:






Has a fever and is less than 6 months old
Has a fever for more than 72 hours
Is excessively cranky, fussy or irritable
Is excessively sleepy or lethargic
Is persistently wheezing or coughing
than usual
 In children, it is most often caused by a virus
 Call your doctor or go to the hospital if:
•
•
•
•
Your baby has diarrhea and is less than 6 months of age
Your baby has bloody stools
Your baby starts to vomit and is still vomiting after 4-6 hours
Your baby has decreased urination (less than 4 wet diapers in
24 hours)
• You are concerned and your baby appears unwell
 Your doctor may recommend you give your baby special drinks as
oral rehydration (i.e. Pedialyte or Gastrolyte) in frequent, small
doses to replace lost glucose and electrolytes
 Avoid juice and sports drinks.
Has a fever and a rash or any other signs of illness that worry you.
A fever can be a good thing, as it means your child’s immune system
is working. For more information on taking an accurate temperature
reading, visit www.caringforkids.cps.ca and search “fever”.
common cold
 The common cold is the most common and mildest type of
infection.
 Typical symptoms may include:
•
•
•
•
•
•
•
runny or stuffed-up nose
mild sore throat
sneezing and coughing
poor appetite
watery eyes
mild tiredness
low-grade fever (less than 38.5º C or 101º F)
 The common cold is usually caused by a virus that is in the nose
and throat. The cold usually gets better within 5-7 days.
flu-like illness
baby well being
baby well being
all about fever
 Diarrhea is when stools are more watery and are more frequent
if your baby is older than 6 months
If your baby is older than 6 months and is
sick, you may want to consider giving
medication to provide some relief and
comfort. Unless your doctor says otherwise,
parents can give the dose recommended on
the package. Acetaminophen (e.g.Tylenol) or
Ibuprofen (e.g. Advil) are suitable but be sure
to follow the directions and do not exceed
the recommended dose. The temperature
usually comes down in one hour and then
may rise again. This means the medication
is working.
do NOT give acetaminophen and ibuprofen at the same time
A baby with a fever should NOT be given aspirin. Taking
aspirin can increase the risk of Reye's Syndrome. This is a
very serious condition that can damage the liver and brain.
 Typical symptoms may include:
•
•
•
•
•
20
cough
sore throat
chills
headaches
sneezing
•
•
•
•
fever
runny nose
fatigue
muscle aches
Adapted with permission from Niagara Region Public Health (January 2013)
looking for more information?
• Caring for Kids - When Baby is Sick
www.caringforkids.cps.ca/handouts/sickkids-index
i
21
it’s
Tummy time is when you lay your baby on the stomach or side when
they are awake. You can put your baby on the floor, on a safe firm
surface, on your lap, or on your chest for tummy time. Your baby
needs supervised tummy time several times a day because it:



 prevents your baby from getting a flat
area on their head

 makes the muscles of your baby’s
neck, back, and arms stronger

washing machine or vacuum cleaner)
Give your baby a warm bath
Have your baby listen to and watch
running water
Lay your baby tummy-down across your
lap and gently pat their back
Give your baby something new to look
at or hold
Take your baby outside or for a walk in
fresh air.
baby well being
baby well being
tummy time!
 Gently pat or stroke the back or chest
 Go for a ride in the car
 Turn on some white noise (such as a
 helps your baby learn to roll and crawl
 supports your baby’s overall
development.
Adapted with permission from Niagara Region Public Health (January 2013)
never shake a baby
Some babies like being on their tummies but many do not like it at
first. You may have to help your baby learn to enjoy tummy time. Here
are some tips:
 Start tummy time when your baby is a newborn.
 Put your baby on their tummy after each diaper change. Add one
minute of tummy time each day. If your baby gets upset, increase
the time more slowly.
 Talk and sing to your baby.
 Give your baby a massage on their back, arms, or legs. Gently
touch or stroke your baby.
 Give your baby interesting things to look at, such as brightly
coloured toys or a mirror. Get down on the floor so your baby can
see your face.
 You can also roll up a towel and put it under your baby’s chest
with your baby’s arms propped up in front for support. At first put
your hand under your baby’s chin to support the head until your
baby is strong enough to do it on their own.
Your baby only needs to be on
their back when sleeping.
When awake, your baby needs
to be held, loved and played
with. Supervised tummy time is
a very important part of your
baby’s day.
22
Starting at about two weeks of age, some babies begin crying more and
may be hard to soothe. As a result, parents may feel guilty and angry if
they aren’t able to console them.
Shaken Baby Syndrome is a condition that occurs when a baby is shaken
violently. Shaking is a potentially fatal form of child abuse. If a baby is
shaken with force, it can lead to a lifetime of problems:
 shaking can damage a child’s brain
 shaking can cause permanent disabilities like blindness or paralysis
 shaking can even cause death.
Never, never shake a baby! No child, at any
age, should be shaken.
If you feel in danger of losing your temper
and harming your baby in this way, leave the
baby in a safe place (crib/playpen) and call
on another adult for help. If no one is
available, please call a crisis line.
looking for more information?
• Babies and Crying (Perth District Health Unit)
www.pdhu.on.ca/health_topics.php?id=361
• Colic in the breastfed baby
www.breastfeedinginc.ca/content.php?pagename=doc-CBB
• Call your local health unit or speak with your healthcare provider or midwife
i
19
when
A crying baby may make you feel helpless, frustrated or even angry.
Though it can be hard to deal with at times, crying is your baby’s only
way of letting you know they are unhappy or uncomfortable. It is
important that anyone who cares for your baby understands that
crying is normal.
Although some crying is normal, it is important
that every attempt is made to understand why your
baby is crying.
crying facts
 It is normal for babies to cry a lot in a 24-hour period
 Most babies have at least one fussy period a day, often in the
evening
 Most babies cry more at night
 Most babies cry more at 6-8 weeks than at birth
 Most babies start to settle after 8 weeks and will begin to cry less.
You cannot spoil your baby by picking them up when
they cry. In fact, if you respond warmly and quickly
to your baby’s cries, they will tend to cry less.
reasons why babies cry
 hunger/thirst
 tired
 change from wakefulness to sleep
 too cold or too hot
 pain or discomfort
 need to suck
 need to be held
 over stimulation
 colic
 no cause!
Babies’ skulls are very
soft and the bones can
be affected by pressure.
Babies also have weak
neck muscles. Because
of this, they tend to turn
their heads to one side
when placed on their
backs. If babies always
rest on the same area
of the head, the skull
may flatten. This is
known as a ‘flat head’
or positional plagiocephaly.
baby well being
baby well being
babies cry
why do some babies develop flat spots on
their heads?
can a baby’s flat head be prevented?
Yes!
You can help your baby have a round head shape by:
 having supervised tummy time several times a day
 avoiding long periods in bouncy seats, infant swings, and
strollers
 limiting the time your baby spends in a car seat
 changing the positions you use to hold and carry your baby
 changing your baby’s position in the crib each day:
• one day, place your baby with their head at one end of
the crib
• the next day, place your baby with their head at the other
end of the crib
• switch ends each day. This encourages your baby to turn
their head in either direction.
If your baby still develops a flat
area, talk to your healthcare
provider or public health nurse.
how to help calm your crying baby
 Take care of physical problems first – hunger, diaper change, the
18




need to burp
Place your baby skin-to-skin
Walk with your baby in a sling or in a stroller
Rock your baby in a rhythmic, gentle motion
Try a baby swing or rocking cradle
Source: Province of British Columbia. (2011). Baby Care – Tummy Time. Retrieved February
4, 2013, from www.bestchance.gov.bc.ca/you-and-your-baby-0-6/caring-for-yourbaby/baby-care/tummy-time.html
23
immunization
your child’s best protection
immunization
how does it work?
Vaccines cause your child’s
immune system to make
antibodies which will fight off
certain diseases. For
immunization to work best,
children should have all their
needles on schedule.
is it safe?
Yes, immunization is very safe.
Before any vaccine can be used
in Canada, it must go through
careful testing. Vaccine safety is
always being monitored.
The benefits of preventing
disease with a vaccine far
outweigh the risks.
are there any side effects?
The most common side effects
are mild pain, swelling and/or
redness where the needle was
given. Some infant vaccines may
cause a low-grade fever or
fussiness for a day or two after
the shot. Serious side effects are
very rare.
when should I have my child
immunized?
Immunization starts as an infant
and continues throughout life.
Your child will receive most of
their immunizations between
the ages of 2 months and 6 years
of age (see next page).
report immunizations to the Health Unit!
Immunization records are kept at the local Health Unit for each child going
to school as part of provincial law. But it’s up to you to keep the Health Unit
updated on your child’s immunizations! Your family doctor does not forward
the information to us.
In Perth County, let the Health Unit know when your child has received an
immunization:
 Online: www.pdhu.on.ca/immunization
 By phone on voice mail (24 hours/7 days a week), call: 519-271-7600 /
1-877-271-7348 ext 555.
 By confidential fax: Have your doctor’s office fax a copy to the Health
Unit or send a photocopy yourself to 519-271-2785
 In person: Bring your child’s yellow card to the Health Unit at: 653 West
Gore Street, Stratford: Monday to Friday, 8:30am - 4:30pm
In Huron County, call 519-482-3416 or toll-free at 1-877-837-6143 ext 2329
or visit www.huronhealthunit.com/immunizations
24
i
Please share this information with all family,
friends, and other child care providers who may
care for your baby to ensure they follow safe
sleep practices.
sleeping
what is immunization?
Immunization or vaccination
will protect children from serious
diseases, such as whooping
cough, tetanus, measles, and
mumps.
 Instead of a blanket, use light sleeping clothing for your baby,
such as a one-piece sleeper.
 Use a crib that meets current Canadian safety regulations.
 Be aware of room temperature as overheating can be a risk for
SIDS. If the room temperature is comfortable for you, then it is
also comfortable for your baby.
what about
co-sleeping?
Bed sharing or co-sleeping is when you share the same
sleep surface as your baby, whether it is a bed, couch, futon,
beanbag, recliner, armchair, air mattress, memory foam, or
any makeshift bed.
Bed sharing has been identified as a risk factor for SIDS and
can also lead to suffocation.
Bed sharing is unsafe because a baby can suffocate if:
 they become trapped between the sleeping surface and
the body of a parent or caregiver, the wall or other objects;
 the parent, caregiver or another child rolls over onto the
baby; or
 the parent uses soft bedding material such as pillows or
comforters.
The risk of death is even higher for your baby if the person
sharing the same sleep surface is a smoker, very tired, or
under the influence of drugs, alcohol, or medications.
Room sharing is a safe alternative to bed sharing.
Adapted with permission from Niagara Region Public Health (January 2013)
Source: Public Health Agency of Canada. (2012). Safe Sleep for your Baby. Retrieved
October 4, 2013, from: www.phac-aspc.gc.ca/hp-ps/dca-dea/stages-etapes/childhoodenfance_0-2/sids/ssb_brochure-eng.php
looking for more information?
looking for more information?
• Health Canada: Immunizations & Vaccines
www.phac-aspc.gc.ca/im/index-eng.php
• A parent’s guide to immunization information on the internet
www.caringforkids.cps.ca/handouts/immunization_information_on_the_internet
• Healthy Canadians – Safe Sleep
www.healthycanadians.gc.ca/kids-enfants/sleep-sommeil/index-eng.php
• SIDS Canada
www.sidscanada.org - click “Parents and Caregivers”
i
17
16
OR
Adult
14-16
years
Gr. 8
Gr. 7
Adacel® - diphtheria, tetanus, & acellular
pertussis (one “life-time” dose for
individuals up to 64 years who were not
previously vaccinated with an acellular
containing vaccine).
Td Adsorbed® - diphtheria & tetanus
one dose every 10 years in adulthood
Gardasil® - human papillomavirus
3 does schedule (females only)
Engerix® -B or Recombivax HB®
- hepatitis B 2 dose schedule
Menactra® - meningococcal ACYW-135
Adacel® - Polio - diphtheria, tetanus,
acellular pertussis, inactivated poliovirus
Priorix-Tetra™ - measles, mumps, rubella
and varicella vaccine
Varivax® III - varicella (chicken pox vaccine)
Priorix® M-M-R® II - measles, mumps, and
rubella
Menjugate® - meningococcal group C
Rotarix™ - rotavirus vaccine
Provide a safe crib environment that has no toys or loose
bedding – use only a fitted sheet.
 The safest place for your baby to sleep or nap is in a crib.
 Do not let your baby sleep on an adult bed, couch or any
soft surface (either alone or with another person). Soft
surfaces increase the risk of suffocation.
 Use a crib that has no toys, blankets, bumper pads or
loose bedding.
Prevnar® 13 - pneumococcal conjugate
Place your baby to sleep in a crib next to the adult’s bed for the
first 6 months.
 Place your baby to sleep in a crib within arm’s reach of
where you sleep. This may mean putting your baby’s crib
next to your bed, or putting a mattress next to the crib in
your baby’s room.
 Room sharing is associated with a reduced risk of SIDS
 Bed sharing or co-sleeping whether on a bed, couch,
futon, armchair, or any makeshift bed is not
recommended and can lead to suffocation. Co-sleeper
products are not recommended by Health Canada.
Pediacel - diphtheria, tetanus, acellular
pertussis, inactivated poliovirus, haemophilus
influenzae type B
Always place your baby on their back to sleep – at night time
and nap time.
 Start putting your baby on their back right from birth at
every sleep, including nap time. A baby who usually
sleeps on their back but is then placed on their stomach
at another sleep is at a much higher risk of SIDS.
 Do not use sleep positioners or rolled up blankets as they
could suffocate your baby.
 At about 5 months old, your baby may start to turn over
onto their stomach on their own. When this happens,
you do not have to reposition your baby.
®
studies show that exposure to smoke is one
of the greatest risk factors for SIDS
4-6
years
Provide a smoke-free environment – both before and after birth
 Do not let anyone smoke near your baby– not in the
house, the car or anywhere your baby sleeps or spends
time. If you, your partner, family member or friends
smoke, smoke outside and well away from your baby.
2
4
6
15
18
12
months months months months months months
Here are four steps you can take to create a safe sleep environment
for your baby:
immunization
sleeping
Creating a safe place to sleep will help your baby sleep safely and
reduce the risk of Sudden Infant Death Syndrome (SIDS).
immunization schedule
Vaccine
sleepand your baby
routine publicly funded
25
26
Your baby should have a strong cry, move actively and wake easily.
Your breasts feel softer and less full after breastfeeding and your baby comes off the breast looking relaxed and content.
Other Signs
From Day 4 onward your baby should gain 20 to 35g per day (2/3 to 11/3 oz) and
regain his or her birth weight by 10 to 14 days.
Babies often experience a sudden burst in growth – a growth ‘spurt’ – at certain times within their first few weeks.
During these growth spurts your baby may want to nurse more than usual.
Growth Spurts
At least 1 to 2
BLACK OR DARK GREEN
Babies lose an average of 7% of their birth weight in
the first 3 days after birth.
For example, a 3.2 kilogram or 7-pound baby will
lose about 230 grams or ½ a pound.
At least 3
WET
At least 2
WET
Per day, on average over 24 hours
Your Baby’s Weight
At least 3 large, soft and seedy
YELLOW
At least 4
WET
At least 3
BROWN, GREEN, OR YELLOW
Size of an egg
At least 1
WET
Soiled Diapers:
Number and Colour of Stools
Per day, on average over 24 hours
How Often Should You Breastfeed?
Source: Best Start Resource Centre
Per day, on average over 24 hours
1 WEEK
2 DAYS
Your Baby’s Age
• Why? This may be a sign of early childhood tooth decay (ECTD),
which is a form of tooth decay in infants and young children
that develops quickly. Advanced ECTD may result in extreme
pain, spread of infection, difficulty chewing and talking, and
costly dental treatment.
Children with ECTD are
at more risk of
developing cavities in
their permanent teeth.
1 DAY
 Check your baby’s gums and teeth often. If you notice white or
brown spots on the teeth or changes to the gums contact your
dental professional or Perth District Health Unit or Huron County
Health Unit immediately.
4 DAYS
 As soon as teeth appear, brush your child’s teeth twice a day using
a soft baby toothbrush with no toothpaste or a slight smear of
fluoride-free toothpaste. Rinse toothpaste from the mouth using
water on the toothbrush.
Size of an apricot
5 DAYS
• Why? All liquids, except for water, contain some form of sugar.
Allowing your child to sip on drinks throughout the day or night
may cause cavities (dental decay).
Size of a walnut
6 DAYS
 Once your baby is able to sit up, offer drinks in a regular cup – avoid
sippy cups.
• Why? Babies can get cavities just like older children and adults.
Your child may have some of their baby teeth until age 12 so it’s
important to start healthy habits early.
At least 8 feeds per day (every 1 to 3 hours). Your baby is sucking strongly, slowly, steadily and swallowing often.
2 WEEKS
7 DAYS
• Why? This will help your baby get used to having their teeth
brushed.
3 DAYS
oral health
 Clean your baby’s mouth as often as possible after feedings. Wipe
your baby’s mouth and gums with a clean cloth moistened with
water only.
breastfeeding
It is important to start healthy dental habits early – even before your
baby’s first teeth come in. Here are some things you can do and why
you need to do them.
Wet Diapers:
How Many, How Wet
your baby
At least 6
HEAVY WET WITH PALE YELLOW OR CLEAR URINE
nursing mothers
Size of a cherry
and
guidelines for
Your Baby’s Tummy Size
oral health
15
breastfeeding
Breast milk is the natural food for babies. Canadian health experts
recommend:
 Babies need only breast milk for the first 6 months.
 At 6 months, babies will show signs that they are ready for solid
foods. It is important to watch for these cues, introduce solids
when ready, and continue to breastfeed for up to 2 years and
beyond.
 All babies need Vitamin D. If breastfeeding, Health Canada
recommends you give your baby 400 IU of Vitamin D each day
from birth to one year of age.
breastfeeding matters because:
 Everyone benefits from breastfeeding – you, your
baby, your family and your community
 Breast milk is convenient, always the right
temperature and available anytime
 Breastfeeding is free
 Breastfeeding promotes bonding between you
and your baby
 Breastfeeding is environmentally friendly
 Breastfeeding reduces health care costs for your
family and society.
Once teething starts, it continues
for about two years. Each child
has their own schedule for
“cutting” teeth.
Expect the first tooth to come
through when your baby is
about 4-6 months old. Some
babies seem to have no problem
with teething while others may be fussy and you may notice drooling,
biting, gnawing and some swelling of the gums.
How you can help relieve your baby’s sore or tender gums:
 Gently massage baby’s gums with a clean damp cloth.
 Give your baby a clean, chilled teething ring to chew on
 Teething cookies are NOT a good choice as they contain sugar
and may lead to cavities
oral health
breastfeeding
the importance of breastfeeding
teething
 Extra love and patience will help your baby through the teething
process
 Fever, rash and diarrhea are not symptoms of teething - contact
your baby’s doctor immediately as these could be signs that your
child is ill.
Teething gels or ointments are NOT recommended because they may
numb baby’s throat and cause choking.
for your baby, breastfeeding:




Protects your baby from many infections and illnesses
Builds healthy eating habits
Promotes proper jaw development
Promotes healthy brain development.
for mom, breastfeeding:
 Controls postpartum bleeding
 Helps you lose the weight you gained during pregnancy more quickly
 Slows down the return of your period.
For your breastfeeding needs and to make an
informed decision about feeding your baby,
contact your local health unit, or refer to the
“Breastfeeding Matters” book that you got
prenatally. If you do not have a copy, call your
health unit or visit www.beststart.org.
14
Permanent (Adult) Teeth
Primary (Baby) Teeth
Erupt
8-12mos
9-13mos
16-22mos
13-19mos
25-33mos
6-7yrs
Upper Teeth
Central Incisor
Lateral Incisor
Canine (Cuspid)
First Molar
Second Molar
First Molar (6-yr)
Erupt
6-7yrs
23-31mos
14-18mos
17-23mos
10-16mos
6-10mos
Lower Teeth
First (6-yr) Molar
Second Molar
First Molar
Canine (Cuspid)
Lateral Incisor
Central Incisor
Erupt
7-8yrs
8-9yrs
11-12yrs
10-11yrs
10-12yrs
6-7yrs
12-13yrs
17-21yrs
Upper Teeth
Central Incisor
Lateral Incisor
Canine (Cuspid, Eye Tooth)
First Premolar (First Bicuspid)
Second Premolar (Second Bicuspid)
First Molar (6-yr Molar)
Second Molar (12-yr Molar)
Third Molar (Wisdom Tooth)
Erupt
17-21yrs
12-13yrs
6-7yrs
10-12yrs
10-11yrs
11-12yrs
8-9yrs
7-8yrs
Lower Teeth
Third Molar (Wisdom Tooth)
Second Molar (12-yr Molar)
First Molar (6-yr Molar)
Second Premolar (Second Bicuspid)
First Premolar (First Bicuspid)
Canine (Cuspid, Eye Tooth)
Lateral Incisor
Central Incisor
looking for more information?
• Perth District Health Unit - Dental Health
www.pdhu.on.ca - dental health
• Huron County Health Unit
www.huronhealthunit.com
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27
growth & development
GROW
the Nipissing Screens:

growth and development




Are checklists to help parents keep track of your
child’s development.
Were designed to be done at the same time your child
gets their vaccinations. There is a different checklist
for each developmental stage up to age 6.
Includes a list of ideas and activities parents can do
with their child that are age-appropriate and will
help them with their development.
Parents can complete the Nipissing at home and then take it to the
doctor during regular check-ups. This tool helps parents tell the
doctor if they have any concerns with their child’s development.
Parents can also ask any questions or talk about concerns with a
public health nurse:
• Huron County Health Unit: 519-482-3416/1-877-837-6143
• Perth District Health Unit’s Health Line: 519-271-7600 or toll-free
at 1-877-271-7348 ext 267.
To download copies of the Nipissing Screens, visit www.ndds.ca
Adapted with permission from Niagara Region Public Health (January 2013)
want an easy way to
track your baby’s growth
and development?
Giddy-up
Let’s
Giddy-up Let’s Grow is the answer!
Sign up for the e-newsletter, which is delivered to your inbox every
month until your baby turns one – and then periodically until your baby
is no longer a baby ... but a sensational six years old!
Each e-newsletter is written by a parent - like you - and has links to
age-appropriate growth, development and parenting information as
well as to community services.
the healthiest place to begin
All babies benefit from skin-toskin. Placing your newborn baby
on your bare chest is
recommended immediately
following birth for at least an hour,
or until completion of the first
feeding, or for as long as you wish.
breastfeeding
Giddy-up
Every baby is unique and will develop differently. A good tool to help
keep track of your baby’s development is called the Nipissing District
Developmental Screen (NDDS)®.
skin-to-skin:
with skin-to-skin,
your baby:
 Breastfeeds easier
 Cries less and is calmer
 Stays warmer
 Enjoys more comfort from you
 Has better blood sugar levels and heart rate
 Is protected by some of your good bacteria.
with skin-to-skin, you:
 Breastfeed more easily
 Create more breast milk
 Learn when your baby is getting hungry
 Bond more with your baby
 Gain confidence and satisfaction caring for your baby
 Are more relaxed.
as they grow
Babies love skin-to-skin contact as they grow older as well:
 Just hold your baby (this can be either mom or dad), wearing only
a diaper, against your bare chest or tummy and cover their back
with a blanket
 It is a great way to calm an upset baby
 It is soothing to them and helps them feel secure.
You may have already signed up through a public health nurse at the
hospital or your midwife. But if we missed you:
• Perth residents sign up online at: www.pdhu.on.ca/giddy-up
• Huron residents sign up by calling: 519-482-3416 or 1-877-837-6143
ext 2256
28
13
mother care
7. I have been so unhappy that I have had difficulty sleeping
1 Yes, most of the time
2 Yes, sometimes
3 Not very often
4 No, not at all
3
2
1
0
3
2
1
0
9. I have been so unhappy that I have been crying
1 Yes, most of the time
2 Yes, quite often
3 Only occasionally
4 No, never
3
2
1
0
10. The thought of harming myself has occurred to me
1 Yes, quite often
2 Sometimes
3 Hardly ever
4 Never
3
2
1
0
FINAL SCORE _________
Results
Add together the numbers you put for each of the ten questions.
Final Score 1-9
This result means that you are showing no signs of depression.
Final Score 10-12
This result means that you are showing mild signs of depression.
Final Score 13-30
This result means that you are showing moderate to severe signs of
depression.
If your score is 10 or higher, please talk to your doctor, midwife or
healthcare professional and bring this scale with you to your
appointment.
reading & play
As babies grow they are
constantly learning about
themselves and their world
through their five senses –
seeing, hearing, touching,
tasting and smelling.
Play with your baby throughout
the day so they can learn
through their senses:
• Sing, read and talk to your
baby even if they don’t seem
to be listening
• Hold your baby, smile and tell
them how wonderful they are
• Take your baby for walks and
talk about the things you see
and hear
• Play music and gently move
your baby’s arms and legs to
the beat
• Hang brightly coloured objects
near your child – mobiles,
mirrors, pictures
• Try short periods of “tummy
time” with your baby (page 22).
as baby grows
• Offer toys they can hold –
rattles, bells, plastic rings
• Play during bath time – gentle
splashing, floating toys, cups
• Play simple games – peek-aboo and pat-a-cake
• Play with your baby on the
floor and encourage them to
crawl by placing a favourite
toy just out of reach
• Continue to sing and read to
your baby.
early literacy
Babies make their needs and
interests known through body
language and cooing and
babbling sounds. This is their
way of communicating.
To help your child’s language
and reading development:
• Take turns “talking” with them,
even though they may not be
using real words yet
• Name objects and actions
when going about your day or
while looking at books
together
• Read simple books with your
baby by naming and pointing
to the pictures
• Choose books that have large,
simple pictures
• Let babies see writing and
reading as a part of everyday
life (making grocery lists,
pointing out street signs)
• Sing songs, say rhymes and
play games like, “This Little
Piggy”. They are fun for babies
and allow them to hear and
sense patterns of language.
growth and development
8. I have felt sad or miserable
1 Yes, most of the time
2 Yes, quite often
3 Not very often
4 No, not at all
importance of
Adapted with permission from Niagara Region Public Health (January 2013)
Source: Cox, J.L., Holden, J.M., Sagovsky, R. (1987). Detection of postnatal depression:
Development of the Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150:
782-786
12
looking for more information?
• Small Talk
www.smalltalkinfo.ca
• Visit the public library in your community
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29
buckle me up!
The below Edinburgh Postnatal Depression Scale will help you determine if
you may be suffering from postpartum depression.
Please check the answer that comes closest to how you have felt in the past
7 days, not just how you feel today.
safety
I am a baby
My rear-facing car seat protects my head, neck and soft bones. Keep
me this way until I have reached the maximum rear-facing height or
weight limit of my seat. I’ll fit into some rear-facing seats until I’m
20kg (45lb).
My harness:
 Is below my shoulder
IT’S OK
IF MY FEET
TOUCH!
 Is one finger tight at my collar bone
 Has my chest clip at armpit level
 Lays flat and is snug
My seat:
 Can move toward the back seat
 Is at a 45° angle
 Moves less than 2.5cm (1”) side to side
or forward where belted.
IN THE PAST SEVEN DAYS…
I am a toddler
3. I have blamed myself unnecessarily when things went wrong
1 Yes, most of the time
3
2 Yes, some of the time
2
3 Not very often
1
4 No, never
0
I must be at least one year old, 10kg (22lb) and can
walk unassisted to be in a forward-facing car seat.
My harness:
 Is above my shoulder
 Is one finger tight at my collar bone
 Has my chest clip at armpit level
 Lays flat and is snug.
My seat:
 Has the tether strap attached to the tether
anchor and is pulled tight
 Moves less than 2.5cm (1”) side to side
or forward where belted.
I am a school-aged child
I must be at least 18kg (40lb) to sit in a booster seat. My booster seat
helps the seatbelt to fit me better.
My shoulder belt:
 Crosses the centre of my shoulder
 Crosses the centre of my chest
 Lays flat
 Is pulled snug
My lap belt:
 Rests on my upper leg (thigh)
 Does not ride up on my belly
 Is pulled snug.
30
Source: Region of Waterloo Public Health
1. I have been able to laugh and see the funny side of things
1 As much as I always would
2 Not quite so much now
3 Definitely not so much now
4 Not at all
0
1
2
3
2. I have looked forward with enjoyment to things
1 As much as I ever did
2 Rather less than I used to
3 Definitely less than I used to
4 Hardly at all
0
1
2
3
4. I have been anxious or worried for no good reason
1 No, not at all
2 Hardly ever
3 Yes, sometimes
4 Yes, very often
0
1
2
3
5. I have felt scared or panicky for no very good reason
1 Yes, quite a lot
2 Yes, sometimes
3 No, not much
4 No, not at all
3
2
1
0
6. Things have been getting on top of me
1 Yes, most of the time I have not been able to cope at all
2 Yes, sometimes I haven’t been coping as well as usual
3 No, most of the time I have coped quite well
4 No, I have been coping as well as ever
3
2
1
0
mother care
In Canada, it’s the law for children to be in a car seat or booster
seat. Below are the recommended guidelines for car seats and
booster seats.
how are you feeling?
11
Have you had any of these symptoms for more than two weeks? Don’t
wait. Ask for help. Talk with your partner, tell someone how you are
feeling. You can also call:
mother care
 Your healthcare provider (family physician, midwife, nurse,
obstetrician, psychiatrist)
 A public health nurse at your local health unit
 Canadian Mental Health Association – Huron-Perth:
1-888-875-2944
moms - what can you do?
 Do not blame yourself. You are not alone in feeling the way you
do. Do not feel ashamed or guilty for your thoughts and feelings.
They do not make you a bad mother.
 Take care of yourself. Try to rest, eat healthy foods and get some
fresh air and exercise.
 Get counselling. Attend one-to-one counselling sessions or join
a support group with other parents; it is helpful to talk through
your feelings in a safe and supportive environment.
 Consider medication. Your healthcare provider may
recommend medication that is safe to use while breastfeeding
and is not addictive.
partners, family, friends - what can you do?
 Listen and support her feelings.
 Encourage her to seek professional help
 Develop your relationship with the baby to
provide her with breaks
 Ask her how you can help
 Educate yourself about postpartum mood
disorders
 Take some time for yourself – you need a
break too
 Find someone to talk to
 Don’t take mom’s depression or sad
feelings personally (it is not her fault or yours).
Adapted with permission by the Best Start Resource Centre.
10
i
looking for more information?
• Canadian Mental Health Association
www.cmha.ca/mental_health/postpartum-depression
Injuries in the home are most often caused by falls, burns, poisoning,
choking, strangulation and drowning. Create a safe environment for
your baby as they grow and learn.
around the house
 Protect your baby from falling:
• Stay close to your baby
• Keep one hand on your child while they’re on the change table
• Place car seats, carriers, and rockers on the floor
 Use safety gates:
• Install safety gates properly
• Bolt safety gates to the wall at the top and
bottom of the stairs
• Do not use safety gates made before1990
 Window blind or curtain cord safety:
• Place cribs, beds and other furniture away
from windows and balconies
• Cut window blinds and curtain cords short and tie them out
of reach
• Cribs, beds, high chairs and playpens should not be placed by
window blinds or curtain cords
• Use cordless window coverings
safety
 Ask for help. Talk to your partner, family, friends and healthcare
provider. Delaying help may delay recovery.
safety in the home
 Keep all potential poisons locked up and out of
reach of children
 Install smoke detectors on every level of the
home and in each sleeping area. Carbon
monoxide detectors can also save your child’s life.
play time
 Examine all toys and ensure they do not have small parts that can
be pulled off and swallowed
 Choose age-appropriate toys: pay attention to the age
recommendations on toys
 Keep small magnets away from children
 Baby walkers are dangerous and
banned for use in Canada
 Choose the right baby jumper for your
baby’s height, weight and age. Install
it properly and never leave your baby
unattended while in the jumper.
 Check for product recalls: www.hcsc.gc.ca/cps-spc/index-eng.php
31
bed time
safety
 Crib safety:
• The safest place for your baby to sleep is alone in a crib on
their back
• Always lock the sides of the crib in the upright position
• Provide a safe crib environment that has no toys, bumper
pads, pillows or loose bedding (use only a fitted sheet).
• Make sure your baby does not have a bib, necklace, or
anything tied around the neck when in the crib
• Put your baby to sleep in a crib next to your bed for the first
six months.
bath time
 Supervise a baby in the bathtub or around water at all times
 Bath seats and bath rings
are not safe
 Do not rely on older
siblings to supervise
 Always check the
temperature of the water
before bathing your child
 Lower your water heater
temperature to a maximum
of 49°C (120°F)
Never leave children inside a parked car, even if the windows
are cracked open. Children who are left unattended in parked
cars are at risk for heat stroke and possibly death. Even when
the outside air temperature is 23°C/73°F, the temperature inside
a vehicle can be extremely dangerous - more than 50°C/122°F.
looking for more information?
32
i
• Health Canada: Is Your Child Safe?
www.hc-sc.gc.ca – search “is your child safe”
life with a new baby is not always
what you expect
postpartum blues or “baby blues”
“4 in 5 mothers will have postpartum blues.”
Pregnancy, the birth of a baby or an adoption
brings physical, emotional and social changes.
Adjustments to the new roles and relationships
are not always easy.
mother care
 Choose a safe crib:
• Do not use a crib made before 1986
• Make sure your crib has no loose,
missing or broken parts
• Make sure the crib mattress fits
tightly within the crib
• Do not use a crib that does not have
a label, or is homemade
You may:
 Feel sad and tearful
 Feel irritable
 Feel exhausted
 Feel overwhelmed
 Have changes in your sleeping or eating pattern
These feelings are normal and can take up to 3 weeks to regulate
themselves. Your hormones plummet on day 3 - 4 after being at a
high level all throughout your pregnancy. The baby blues will pass
easier if you: take care of yourself, get lots of rest, and let family and
friends help you as well.
postpartum mood disorder
“1 in 5 mothers will have a postpartum mood disorder.”
If by 3 weeks you do not feel back to yourself, or at any time
during the first year you find yourself not as happy or coping as you
were before pregnancy, you may be suffering from a postpartum
mood disorder.
You may:
 Not feel yourself
 Be sad and tearful
 Feel exhausted, but unable to sleep
 Have changes in eating or sleeping pattern
 Feel overwhelmed and can’t concentrate
 Have no interest or pleasure in activities you used to enjoy
 Feel hopeless or frustrated
 Feel restless, irritable or angry
 Feel extremely high and full of energy
 Feel anxious – you may feel this as aches, chest pain, shortness
of breath, numbness, tingling or “lump” in the throat
 Feel guilty and ashamed, thinking you are not a good mother
 Not be bonding with the baby, or be afraid to be alone with
the baby
 Have repeated scary thoughts about the baby
 Have thoughts about harming yourself or your baby
9
mother care
Listen for hunger cues:
 Eat when you are hungry and stop when you are full
For breastfeeding moms:
 Follow this Eating Well with Canada’s Food Guide table for
breastfeeding mothers: go to www.hc-sc.gc.ca click on Canada’s
Food Guide, then select “My Food Guide Servings Tracker” and
“Breastfeeding Female”.
 Enjoy the same foods that you’ve always enjoyed. There are no
special foods to avoid while breastfeeding
 During breastfeeding your appetite and thirst may increase
 Eat an extra 2-3 food guide servings to meet your body’s needs
 Eat a variety of your favourite healthy foods, drink according
to thirst.
be yourself
Adapted from materials produced by Toronto Public Health.
after the birth: physical activity
Ask your healthcare provider when you may begin exercise and activity
after the birth of your baby. Generally, with an uncomplicated birth, exercise
can begin once you are feeling well enough.
 Try to take your time, rest frequently, and do not overdo it
 Breastfeed or express milk before being active
 Wear a supportive bra
 Drink plenty of water
 Listen to your body – if you are tired, rest.
benefits of activity
 Improved fitness and increased energy
 Maintain a positive self-image
 Return more quickly to a healthy weight
 Promote better sleep
 Reduce the risk and severity of postpartum mood disorder
 Improve bladder control by exercising pelvic floor muscles.
looking for more information?
i
8
• Eating Well with Canada’s Food Guide
www.hc-sc.gc.ca – select “Canada’s Food Guide”
• Physical Activity for Adults
www.pdhu.on.ca/health_topics.php?id=861
healthy home
environment
Toxic substances are common in our environments. Babies are at
greater risk than adults because their natural defences are not fully
developed.
Here are five ways you can create a healthy home.
bust that dust
 House dust is one of the main sources of
children’s exposure to toxic substances.
 Clean with a vacuum, a damp cloth or wet mop
once a week; twice a week if you have a
crawling baby.
 Take your shoes off at the door. Use washable
entrance mats.
 Minimize clutter and store toys in closed
containers.
go green when you clean
 Wash your hands often; avoid using antibacterial soaps.
 Use non-toxic cleaning products, such as baking soda, to scrub
sinks and tubs, and vinegar mixed with water for windows,
surfaces and floors.
 Choose fragrance-free laundry detergents and avoid using dryer
sheets. Fragrances in products can contain potentially harmful
chemicals.
 Keep all cleaners and other household chemicals out of the
reach of children.
healthy environment
 Celebrate yourself as a mom! Recognize that giving birth and
caring for a new baby are great achievements
 Make time for yourself every day, even if it’s only 15 minutes
 Focus on the best possible you. Do not compare yourself to
others. Recognize that a baby brings many changes to your life
and you are doing your best.
creating a
renovate right
 Children and pregnant women should stay away
from areas being renovated.
 Control and contain all dust, especially in older
homes (built before 1978), as renovation dust can
have high levels of lead, which is toxic to the developing brain.
 Choose less toxic paints, finishes and glues (e.g. VOC-free)
 Keep work clothes and shoes in a separate hamper; wash them
separately.
get drastic with plastic
 Don’t use plastic containers or plastic wrap in the microwave,
even if the packaging says “microwave safe.”
 Eat fresh or frozen foods whenever possible to reduce exposure to
BPA, a chemical used in the lining of most food and drink cans.
33
 Avoid teething toys, bibs, bath toys, shower curtains and other
items that contain PVC or vinyl (a type of soft plastic). These
items can contain harmful chemicals called phthalates, which
were banned in children’s toys in June 2011.
healthy measures
moms: be active, eat well and be yourself!
Source: Canadian Partnership for Children’s Health & Environment. “Creating Healthy
Environments for Kids.” Retrieved February 1, 2013, from
www.healthyenvironmentforkids.ca/resources/creating-healthy-environments-kids
make your
home and vehicle
smoke-free!
healthy environment
Second-hand smoke is more harmful to children because their
lungs are smaller and they breathe faster.
Children who breathe in second-hand smoke are more likely to have:
 more colds, ear and throat infections
 a greater risk of respiratory infections like bronchitis and
pneumonia
 a greater chance of getting asthma
 children with asthma will have more asthma attacks and
increased severity of the attacks
 in babies, a greater chance of dying from Sudden Infant
Death Syndrome (SIDS)
 behaviour issues with lower attention and comprehension.
Points to ponder:
 eating cigarette butts can poison a child
 children of smokers are more likely to become smokers
themselves
 people who stop smoking may have more money to spend
on themselves and their families
 parental smoking increases your family’s risk of a firerelated injury.
Protect your family by making your home and vehicle 100%
smoke-free! If you smoke, the best thing you can do is stop. If
you are not ready to stop yet, limit your smoking to outside your
home, away from children. It is against the law for any person,
driver or passenger to smoke in a vehicle where there are
passengers under the age of 16 years old.
For support to stop smoking:
• Perth District Health Unit: Free Stop Smoking Clinic – call 519271-7600/1-877-271-7348 ext 722 to make an appointment
• Huron County Health Unit: call 519-482-3416 or toll-free
1-877-837-6143
34
Finding time and energy to care for yourself while caring for your new
baby may be a challenge. Start by taking these steps to help you feel
good and stay energized.
be active
mother care
after pregnancy
The benefits:
 Being active will give you more energy to take care of yourself
and your baby
 Being active each day will help you sleep well, reduce stress and
achieve or maintain a healthy weight.
Start small:
 Start with 10 minutes each day of any activity you enjoy and
gradually increase to 30 minutes
 In time, aim for at least 150 minutes of activity per week.
Keep it simple:
 Start the day with simple stretches to rejuvenate
 Take your baby for a walk every day and enjoy the fresh air
 If the weather isn’t great, turn on some music and dance or play
with your baby at home.
Make it a family affair:
 Be active with family and friends by
walking together at a local park
 Join programs offered in the community,
such as a strollercise class or mom & baby
yoga – it’s a good opportunity to get out of
the house and meet other new moms
 Have fun exploring your neighbourhood.
eat well
Nourish your body:
 Eating well after giving birth and while breastfeeding is essential
to replenish nutrient stores in your body.
Eat well-balanced meals and snacks based on Canada’s Food Guide:
 Choose foods from all four food groups to give you energy for
your busy day.
Variety adds enjoyment:
 Choose a variety of foods every day
 Avoid falling into the trap of thinking that foods can be “good”
or “bad”
 Eat the foods that you enjoy and aim for a healthy balance and
size-wise portions.
7
mother care
after a caesarean-section delivery
You may not be able to eat for up to 8
hours after the C-section
Have sips of water or eat ice chips
You may feel groggy, nauseous, or even
itchy from the medications you receive
• Medication and other measures for
comfort will be given to you at the
hospital
• When you go home, take medications
for pain control as instructed by your
physician/midwife/nurse
• When your discomfort lessens, you may
take plain Tylenol as directed
The area around your incision may feel
numb or have a tugging sensation
You may keep your incision covered for
comfort
adjusting to
parenthood
With the arrival of a new baby your relationship and day-to-day life
with your partner is bound to change. Here are some things to expect
after you bring baby home from the hospital.
while being a new parent is wonderful, it can
be difficult and stressful, too
Once you are at home, notify your physician or
midwife if you experience any of the following:
 Fever or chills
 Burning pain while urinating
 A feeling of fullness in your bladder after urinating
 Heavy bright red bleeding (saturating pads and passing large
clots – greater than the size of a Toonie)
 Foul smelling vaginal odour
 Redness, drainage and/or severe discomfort from your
episiotomy or if you had a C-section, from your incision
 Hard, reddened, painful areas in the breast that are not relieved
by nursing
 Unusual discharge from your nipples.
6
*Kegel exercises strengthen the muscles of your pelvic floor. Do them when you are
sitting, standing or lying down. To find the right muscles, try to stop the flow of
urine while you are going to the bathroom. If you are able to do so then you have
found the right muscles. Tighten the muscles for 5-10 seconds, then relax for about
10 seconds. Repeat this 10 times, three times during the day.
relationships
“and then comes baby”…now what?
 At first your newborn may only sleep for a few hours at a time,
which means you won’t be getting much sleep either! Lack of
sleep can make you feel irritable, find it hard to concentrate, and
also mean you have less energy for everyday tasks.
 Looking after a newborn also means you have less time for
yourself and for your partner, which can lead to jealous feelings.
These feelings are very normal.
 Moms can experience their own challenges, such as feeling
less attractive to her partner due to changes in her body and
being tired.
 It's also common for new moms and dads to feel guilty when
you're not enjoying every second of being a new parent. It's OK
to want — and need — to take a break from the baby every
once in a while.
 You and your partner might discover that you have different
approaches to parenting. It’s important to remember that with
parenting there is often more than one “right” way to do
something.
35
take care of your relationship:
 Listen to your partner’s concerns
and don't criticize them.
postpartum
care
Your body has done an amazing thing: given birth! But while you are
recovering from childbirth and caring for your newborn, you will
also be dealing with postpartum hormones, lack of sleep, and
adjusting to your changing body. The following chart outlines what
you may experience and how to take care of yourself during the
postpartum phase.
what you may experience
mother care
 Take time to talk to each other
often so that small annoyances
don’t grow into big issues. Strive
for at least 20 minutes a day to
talk and share feelings; you can
do this while you wash the
dishes together or as you get
ready for bed.
what you can do
after the delivery
relationships
 Be honest with each other and try to maintain a sense of humour.
 Work on solving issues together by coming up with solutions you
both can accept. Be willing to compromise, too.
 Keep in mind that sleep deprivation and stress can make you feel
more irritable, so it may take extra effort to curb any tendency to
be snappy.
 It may help to “assign” duties, like cooking and laundry, so both
partners know what's expected of them.
 Find time together as a couple to keep your relationship strong –
hire a sitter and go out on regular dates or make a special dinner
at home after you put baby to bed.
Breast changes are common after you
give birth and vary widely
Talk to a healthcare provider about
about what you can expect
Cramping (“after pains”) as your uterus
shrinks and becomes firmer; you may
notice these more with second and
subsequent pregnancies
Use Ibuprofen for discomfort
Feeling tired and exhausted
• Get as much rest as possible
• Sleep when your baby sleeps
• Ensure you get enough to eat and drink
• Focus on eating iron-rich foods
Bleeding and vaginal discharge for up to
8 weeks
• Wear pads as if you have your period
• Do not use tampons or the menstrual cup
Clots smaller than the size of a Toonie are
normal
Potential for constipation
• Drink fluids and eat a diet with plenty of
fibre to keep stools soft
• You may be encouraged to take stool
softeners
Feel sad or have “baby blues”
See page 9 for more information on
postpartum mood disorder
after a vaginal delivery
Swelling, pain, discomfort or burning in
your vaginal and perineal areas,
especially if you had tearing or an
episiotomy or have hemorrhoids
• Place cold packs in your undergarments
(such as frozen maxi pads)
• Use pain medication and hemorrhoid
creams/pads as directed
• You may take showers or tub baths
unless your physician or midwife has
given you other instructions
You may leak urine when you cough,
Do kegel exercises* to regain control
sneeze or laugh over the next few months over these muscles
36
(continued)
5
sexual
welcome baby!
when to visit the
doctor after delivery
Once you leave the hospital, your family doctor will typically want
to see your baby within five days to check how you and your baby
are doing.
Your doctor or midwife will want to see you alone
four to six weeks after you give birth to check on
your physical recovery from pregnancy and
delivery, see how you’re doing emotionally, and
address your needs going forward.
The frequency of visits to your family doctor after
the first check-ups will vary from physician to
physician.
midwives
Typically, midwives provide care up to six weeks after the birth of a
baby. The midwives will visit you and your baby at home a few times
after the baby’s birth and then schedule regular appointments with
you and the baby at their office. At six weeks postpartum, you will go
back into your family doctor’s care.
need a family doctor?
If you do not have a family doctor, contact Health Care Connect. Health Care
Connect helps Ontarians who are without a family healthcare provider (family
doctor or nurse practitioner) to find one in their community.
4
For more information:
 Visit www.health.gov.on.ca/en/ms/healthcareconnect/public
 Call 1-800-445-1822
Although in the first few weeks
or months after delivery you may
feel like you will never be sexual
again, be assured that this will
pass. Try not to worry too much
about it. Patience and
communication with your
partner are very important.
sex after baby
When is it safe to have sex after
having a baby? You may be
physically able to have sex as
soon as two weeks after delivery if you had only a small tear or none
at all. But most women wait at least 4 to 6 weeks, or until they get
the OK from their healthcare provider. It all depends on:




the type of delivery you had
how difficult it was
how many stitches you needed, and
any complications in your pregnancy.
relationships
During your baby’s first office visit, your family doctor will assess your
baby in a variety of ways. The first office visit will differ from doctor to
doctor, but you can probably expect:
 measurement of weight, length, and head circumference
 observation of your newborn’s vision, hearing, and reflexes
 a total physical examination to check for any abnormalities of the
body or organ function
 questions about how you are doing with your new baby and how
your baby is feeding and sleeping
 advice on what you can expect in the coming month
 a discussion of your home environment and how it might affect
your baby’s health (for example, smoking in the house can
negatively affect your baby’s health in many ways).
health
a difference
There might be a big difference between when you are physically
able to have sex versus when you feel emotionally ready and actually
want to have sex. Lack of sleep, the demands of your newborn, your
changing body image, and any anxieties
about motherhood can have a negative
impact on your sexual desire, and your
partner may also be experiencing similar
feelings.
The right time for you to resume intimacy is,
therefore, a very individual decision. Even if
sex is the last thing on your mind, it is
important to nurture the bond with your
partner in non-sexual ways to maintain your
relationship as a couple, not just as parents.
how soon after delivery can I get pregnant?
You could actually release an egg and get pregnant again as early as 2
or 3 weeks after delivery! You can get pregnant even if your period has
not returned; usually your period comes 2 weeks after you ovulate.
37
birth control
Speak to your healthcare provider about finding the right birth control
method for your situation.
immediate
baby care issues
cord care after the birth
 Proper cord care after birth is important to stop the umbilical
cord area from becoming infected.
 The umbilical cord stump is approximately 2-3cm long and
Lactational Amenorrhea Method (LAM) can be used by a woman
who has just given birth and is exclusively breastfeeding. LAM
can be used for birth control, but only if you answer “yes” to ALL
of the four statements below:
 My baby is less than 6 months old
 I have not had a period since my baby was
relationships
born
 My baby is breastfed on demand, both day
and night and is not fed other foods or
liquids
 I breastfeed at least every 4 hours during
the day and at least every 6 hours at night.
If you answer “no” to any of these statements,
begin another method of contraception.
Source: Society of Obstetricians and Gynaecologists of Canada. (2013). Sexual Health –
Pregnancy. Retrieved January 7, 2013, from www.sexualityandu.ca/sexualhealth/pregnancy
purplish-blue in colour. The cord clamp may still be on.
 The cord usually falls off within 7-14 days, during this time it
welcome baby!
Depending on your plans for future pregnancy, there are a number of
birth control (contraceptive) methods available. Don’t forget to protect
yourself from pregnancy until you are ready for another child. Use
condoms for infection protection if this is a newer relationship.
will change colour from yellowish green to black as it dries out.
 Wash your hands with soap and water before and after caring
for your baby’s umbilical cord.
 Keep the umbilical cord dry and exposed to air or loosely
covered with clean clothes.
 Fold the front of the diaper over so it is below the cord stump.
 If the cord becomes dirty, wash with clean water and soap and
thoroughly dry the cord stump.
 Call your doctor if your baby develops a fever or if the
umbilical area:
 oozes puss
 bleeds
 smells foul
 looks red and swollen around the cord.
Source: Olds, S.B., London, M.l., Wieland Ladewig, P., & Davidson, M.R. (2004).
Maternal-newborn nursing & women’s healthcare (7th ed.). New Jersey: Pearson
Education, Inc.
World Alliance for Breastfeeding Action (WABA) (n.a.) LAM - The Lactational Amenorrhea
Method. Retrieved December 6, 2013, from www.waba.org.my/resources/lam/
hearing screen follow-up
After your baby was born, a hearing screen was done by a hospital
nurse or by your midwife. If the screen needs to be repeated, you
will receive a follow-up call within a few weeks from when you
were discharged from the hospital. The screener will arrange a time
that you can bring your baby into a local clinic at Stratford General
Hospital, Listowel Memorial Hospital or Clinton Public Hospital.
38
If the screen needs to be repeated but you have not received a call
within three to four weeks of discharge, contact smallTALK at 519272-8216 or 1-866-333-7716, or e-mail info@smalltalkinfo.ca.
3
welcome baby!
community listings
huron & perth
registering
your baby
addiction
 Choices for Change: free and confidential counselling services about drugs and/or
alcohol use or problem gambling
 519-271-6730 or 1-877-218-0077
 www.choicesforchange.ca
When your child is born, you must register the birth within 30 days
with the Office of the Registrar General. You can register the birth
online or by mail:
breastfeeding clinics
Click: Newborn Registration:
 apply for a birth certificate, Social Insurance Number, and for Canada
Child Benefits and Ontario Child Benefit.
 Wingham Health Unit (drop-in)
 Tuesdays, 9 am - 12 noon
 288 Josephine St., Wingham, 519-357-4993
mail
 Maitland Valley Medical Centre (by appointment or drop-in)
 Fridays, 9 am - 12 noon
 180 Cambria Rd., Goderich, 519-524-6060
online
Fill out the form Statement of Live Birth you received at the
hospital and sign it.
Perth
 Stratford General Hospital (drop-in)
 Mondays, 10:30 am - 1 pm; Wednesdays, 9 am - 1 pm
 Call 519-272-8210 ext 2901
 24 Hour Maternal-Child Unit Support: 519-272-8232 ext 2036
Mail it to the Office of the Registrar General (Government of
Ontario) - the address is on the form.
documents you will need to get for your baby
 Listowel Memorial Hospital (by appointment)
 Call 519-292-2076
 birth certificate
 an official document with your baby’s legal name, date of birth and
place of birth
 if your child was born outside of Ontario, contact that province or
country to obtain the birth certificate
 apply online (as above) or through a Service Ontario centre.
 North Perth Breastfeeding Clinic (by appointment)
 Monday to Wednesday, 10 am - 12 noon
(last Wednesday of month, 11 am - 12 noon only)
 Fisher Family Primary Care Centre • Call 519-291-3125 ext 6278
 St. Marys Memorial Hospital (drop-in)
 Tuesdays, 6 - 10 pm and Thursdays, 9 am - 1 pm
 Call 519-284-1332 ext 3365
 social insurance number
 a piece of identification that’s required for many federal programs
 apply online when you register your baby (as above)
 Stratford Family Health Team (by appointment)
 Available to Stratford Family Health Team patients only
 Call 519-273-7017
 health card
 your baby will need a health card to show that he or she is
entitled to health care services paid for by OHIP
 to apply, you must go in person to a Service Ontario centre.
breastfeeding support
Health Card
NAME OF CHILD
613 • 549 • 1232 • PH
BORN
2013 - 02 - 15
ISSUED
2013 - 02 - 15
Service Ontario
2
i
To find a Service Ontario centre near you:
 call toll-free: 1-800-267-8097
 visit: www.ontario.ca/serviceontario – select “Locations”
directory
www.ontario.ca/government/register-your-newborn-baby
Huron
 South Huron Medical Clinic (drop-in)
 Fridays, 9 am - 12 noon
 23 Huron St. W., Exeter, 519-482-3416
SEX
F
EXPIRY DATE
2018- 02 - 15
Huron
 Breastfeeding Connections: mom-to-mom support groups (drop-in)
 Facebook online community – search “Breastfeeding Connections Huron
County” and Like the page to join
 MILKS (Mothers Initiating Lactation Knowledge and Support): MILKS is a group
of Huron County mothers, who have breastfeeding experience and offer mother-tomother support. To get in touch with MILKS, email: huronmilks@gmail.com and you
will be connected with a mother in your area.
39
 La Leche League of Canada: for information and support
 Kitchener: 519-579-3800 or 1-800-665-4324
 www.lllc.ca
 Your doctor, midwife or public health nurse
community programs, services and support
directory
 Information Perth: to search for local programs and services related to pregnancy
 www.informationperth.ca
 The Healthline: search for health services of Huron and Perth counties
 www.southwesthealthline.ca
counselling and support for families and children
 Family Services Perth-Huron: for issues such as marriage, family, violence,
budgeting, behaviour management – 142 Waterloo St. S., Stratford, 519-273-1020
or 1-800-268-0903
 Huron-Perth Centre: for issues such as mental health, family conflict, depression
and suicide, child behaviour, family violence, and sexual abuse
 Clinton: 519-482-3931
 Listowel: 519-291-1088
 Stratford: 519-273-3373
 www.hpcentre.on.ca
financial assistance
 Healthy Smiles Ontario: regular dental care for children 17 years and younger,
living in Huron or Perth County with an adjusted family net income of $20,000 per
year or less and do not have dental coverage. Call your local health unit for
information.
 Ontario Works: 77722D London Rd., RR 5, Clinton, 519-482-8505 or 1-888-371-5718
82 Erie St., Stratford, 519-271-3773 or 1-800-669-2948
healthy babies healthy children
A free support program for expectant parents and families with children from birth to 6
years of age.
Huron
Call Huron County Health Unit 519-482-3416 or 1-877-837-6143 or visit
www.huronhealthunit.com.
40
Perth
Call Health Line at 519-271-7600 ext 267 or toll-free at 1-877-271-7348 ext 267 or visit
www.pdhu.on.ca and click on “Classes, Clinics and Services”.
table of contents
welcome baby
Registering your baby.................................................................................................. 2
Immediate baby care issues ....................................................................................... 3
When to visit the doctor after delivery......................................................................... 4
mother care
Postpartum care........................................................................................................... 5
Healthy measures after pregnancy............................................................................. 7
Life with a new baby is not always what you expect................................................. 9
How are you feeling? ................................................................................................. 11
table of contents
Perth
 Breastfeeding Buddies: mom-to-mom support groups (drop-in)
 Breastfeeding Buddies – Stratford
1st Thursday of each month, 1 - 2 pm
Early Years Centre - 35 Waterloo St. N., 519-273-9082
 Breastfeeding Buddies – North Perth
Last Wednesday of each month, 10 - 11 am
Fisher Family Primary Care Centre, 185 Inkerman St. E., Listowel, 519-291-6626
 Facebook online community – search “Breastfeeding
Buddies Perth County” and Like the page to join
breastfeeding
Skin-to-skin: the healthiest place to begin ............................................................... 13
Breastfeeding ............................................................................................................ 14
Guidelines for nursing mothers................................................................................. 15
sleeping
Sleep and your baby ................................................................................................. 16
baby well being
When babies cry ........................................................................................................ 18
When baby is sick...................................................................................................... 20
It’s tummy time ........................................................................................................... 22
immunization
Immunization - your child’s best protection............................................................. 24
Immunization schedule ............................................................................................. 25
oral health
Oral health and your baby......................................................................................... 26
Teething ...................................................................................................................... 27
growth and development
Growth and development.......................................................................................... 28
Importance of reading and play................................................................................ 29
safety
Buckle me up! ............................................................................................................ 30
Safety in the home ..................................................................................................... 31
healthy environment
Creating a healthy home environment..................................................................... 33
Make your home and vehicle smoke-free................................................................ 34
relationships
Adjusting to parenthood............................................................................................ 35
Sexual health .............................................................................................................. 37
directory
Community listings - Huron and Perth ..................................................................... 39
1
letter
congratulations!
Welcoming a new baby, or babies, into
your home is a life-changing experience,
and yet it happens without an instruction
book. So the Perth District Health Unit and
Huron County Health Unit have put
together this resource to help you through
some of the early days with your newborn.
The guide is full of credible, evidence-based
and up-to-date health and safety
information for you and your baby. It is
information you can trust.
This guide is meant to be used as a
reference for you, your partner and your
family. Always discuss any questions or
concerns you may have about your baby
with your family doctor, midwife or a public
health nurse.
Let’s
Project Manager
Dianne Windisch, PHN
Editor
Rebecca Hill, BA
Graphic Design
Cathie Alexander, GD
Consultants - Perth
Adrienne Adas, BA
Julie Bergman, PHN
Shannon Edmonstone, RD
Katherine Horst, BSc
Annette Hoyles, BSc
Amanda Kerr-Lange, PHN
Mary Anne Lealess, PHN
Courtney MacIntosh, PHN
Deb Matheson, PHN
Larry Morrell, PHN
Anna Read, RDH
Consultants - Huron
Marguerite Falconer, PHN
Rhonda Howatt, PHN
Tanya Sangster, PHN
Laura Smith, PHN
We wish you and your family the best of
health!
Perth District Health Unit
653 West Gore St., Stratford, ON N5A 1L4
519-271-7600 • 1-877-271-7348 • www.pdhu.on.ca
Huron County Health Unit
77722B London Rd., R.R. #5, Clinton, ON N0M 1L0
519-482-3416 • 1-877-837-6143 • www.huronhealthunit.com
housing
Huron
 Huron County Social Services: 519-482-8505 or 1-888-371-5718
Perth
 Stratford Social Services: (temporary and permanent housing) 519-271-3773
(daytime) or 1-800-669-2948 (call Shelter Link after hours)
 Stratford Perth Shelter Link (formerly SAAIL): 130 Youngs St., 3rd Floor, Stratford:
519-272-2294 or www.shelterlink.org
mental health
 Huron-Perth Crisis Intervention Program (24 hour/7 Days): 519-274-8000 or
1-888-829-7484
 Canadian Mental Health Association, Huron-Perth Branch (counselling and
treatment): 540 Huron St., Stratford: 519-273-1391 or 1-888-875-2944
 www.cmha-hp.on.ca
 Mental Health Outpatient Services (counselling and treatment):
 86 John St., Stratford: 519-272-8210 ext 2205
 285 Sarah Ave. N., Listowel: 519-291-1320
parenting support
Huron
 Ontario Early Years Centre: Offers infant and child programs from 0-6 years old
 Huron: 519-482-8505 or 1-888-371-5718
 www.huroncounty.ca/childcare/childprogs.php
 Rural Response for Healthy Children: offers parenting programming
 52 Huron St., Clinton, 519-482-8777
 Facebook online community – search “Parenting in Huron” and Like
the page to join
Perth
 Ontario Early Years Centre: Offers infant and child programs from 0-6 years old
 Stratford: 519-273-9082
 Mitchell: 519-348-8618
 Listowel: 519-291-6626
 www.pcfk.on.ca
directory
Throughout the guide we have also
provided links to websites where you can
find more information on the various
topics. At the back of the booklet is a handy
directory of community support services.
Giddy-up
 Young Parents’ Place Perth County: a drop-in program for pregnant teens, young
single moms (under 25 years of age), their partners and children. Locations in
Stratford, Listowel and Mitchell. Call Health Line at 519-271-7600 ext 267 or 1-877271-7348 ext 267 or visit www.pdhu.on.ca for dates and times.
 Facebook online community – search “Young Parents Place Perth
County” and Like the page to join
phone support services
Huron
 Huron County Health Unit: Speak with a public health nurse: 519-482-3416 or
1-877-837-6143 ext 2256
Perth
 Health Line: Speak with a public health nurse about pregnancy, parenting,
breastfeeding and more: 519-271-7600 ext 267 or 1-877-271-7348 ext 267. Monday
to Friday, 8:30 am - 4:30 pm
41
 Telehealth: Free phone access to a registered nurse (24 hours/7 days):
1-866-797-0000
Your Guide
 211: Dial 211 on your phone or visit www.211ontario.ca to link to community and
social services
to a
safety
 Car Seat Clinics: Check that your car seat is properly installed. Call your local
health unit for more information on when and where to have your car seats checked.
newborn
 Motherisk: for info about the risk of medications, drugs, herbal products, and
environmental toxins when pregnant or breastfeeding – 1-877-439-2744 (Monday to
Friday, 9am - 5pm) • www.motherisk.org
 Product Safety: Health Canada information on consumer product safety, including
children’s products and recalls – www.hc-sc.gc.ca/cps-spc/index-eng.php
sexual health clinics
registering your baby
feeding, sleeping, playing
Perth
Speak with a public health nurse or visit a clinic for information on birth control,
pregnancy, and STIs. For dates and times, call 519-271-7600 ext 779 or 1-877-2717348 ext 779, or visit www.pdhu.on.ca – “Classes, Clinics, Services” or text us at 519635-2504.
healthy postpartum tips
for moms
... and more!
smoking
Huron
 Stop Smoking Cessation and Resources: Call Huron County Health Unit at 519482-3416 or 1-877-837-6143
 Smoke-free Homes and Vehicles: Create a smoke-free home and car.
www.pdhu.on.ca/health_topics.php?id=681#
woman abuse
Huron
 Huron Women’s Shelter (24 hour crisis line): 519-524-6245 or 1-800-265-5506
www.huronwomenshelter.ca
Perth
 Assaulted Women’s Helpline (24 hours, 7 days): 1-866-863-0511 • www.awhl.org
Mobile: #SAFE (#7233)
 Optimism Place Women’s Shelter (24 hours/7 days): 519-271-5550 or 1-800-2658598 or www.optimismplace.on.ca
 Police - 911
Produced by the Perth District Health Unit - December 2013 - CA
directory
Huron
Speak with a public health nurse at 519-482-3416 or 1-877-837-6143 ext 2257 or text at
519-440-1439.
Perth
 Stop Smoking Clinic: Free one-to-one counselling for smokers who want to quit.
Call 519-271-7600 ext 704 or toll-free at 1-877-271-7348 ext 704 for an appointment.
healthy
Giddy-up
Let’s
Giddy-up
www.pdhu.on.ca
Let’s
www.huronhealthunit.com